Provider Demographics
NPI:1932486735
Name:JENNIFER VOKE, D.D.S., PLLC
Entity Type:Organization
Organization Name:JENNIFER VOKE, D.D.S., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:VOKE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-263-7287
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:425-263-7287
Mailing Address - Fax:425-263-9877
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:425-263-7287
Practice Address - Fax:425-263-9877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60085485261QD0000X
CA58065261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental