NPI 1164384442
Jab Dental LLC
Practice location
- Address
- 30045 SW Parkway Ave, Wilsonville, OR 97070-9735
- Phone
- (503) 682-2455
- Fax
- (503) 570-8522
Authorised official
- Name
- Jason Bajuscak
- Title
- Owner Dentist
- Phone
- (541) 852-5812
Registered specialties
Dentist
Primary
Registry record
- NPI
- 1164384442
- Entity type
- Organization
- NPI issued
- 25 Nov 2025
- Record last updated
- 25 Nov 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.