Provider Demographics
NPI:1255490470
Name:VOKE, JENNIFER ANNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ANNE
Last Name:VOKE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 LINCOLN AVE STE D
Mailing Address - Street 2:
Mailing Address - City:MUKILTEO
Mailing Address - State:WA
Mailing Address - Zip Code:98275-1571
Mailing Address - Country:US
Mailing Address - Phone:425-212-9334
Mailing Address - Fax:425-212-9795
Practice Address - Street 1:315 LINCOLN AVE STE D
Practice Address - Street 2:
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275-1571
Practice Address - Country:US
Practice Address - Phone:425-212-9334
Practice Address - Fax:425-212-9795
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1190122300000X
WADE60085485122300000X
CA58065122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist