Rory S. Jefferson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

WA8158 Issued in WA

Legal business name

RORY S. JEFFERSON, DDS

Practice address

797 NE Riddell Rd.
Bremerton, WA 98310-3030

Phone

(360) 479-2440

Fax

(360) 479-7769

NPI assigned

Sep 1, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Keri L Johnson

Title

Office Manager

Phone

(360) 479-2440

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rory Scott Jefferson, DDS

  • General Practice Dentistry
  • Bremerton, WA
  • NPI 1174528434
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1790232296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 NE RIDDELL RD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103030",
            "telephone_number": "360-479-2440",
            "fax_number": "360-479-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 NE RIDDELL RD.",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103030",
            "telephone_number": "360-479-2440",
            "fax_number": "360-479-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RORY S. JEFFERSON, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KERI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-479-2440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "WA8158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Romascan, D.O.
• Patricia Romeo
• Evan Romrell, PHARM-D
• Rodjulio Roque
• Rory Jefferson,DDS,PLLC
• Leidy Rosales
• Aljade R Rosario, ARNP
• Carolyn Rosimo Rosario, PHARMD
• Heather L Rosati, PHARMD
• Artemis Coyo Rose

• Dentist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.