# RORY S. JEFFERSON, DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790232296
- **Authorized official:** MRS. KERI L JOHNSON (OFFICE MANAGER)
- **Authorized official phone:** (360) 479-2440

## Contact information

- **Practice address:** 797 NE RIDDELL RD., BREMERTON, WA 98310-3030
- **Practice address phone:** (360) 479-2440
- **Practice address fax:** (360) 479-7769
- **Mailing address:** 797 NE RIDDELL RD, BREMERTON, WA 98310-3030
- **Mailing address phone:** (360) 479-2440
- **Mailing address fax:** (360) 479-7769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | WA8158 | WA | Yes |

## Other

- **Enumeration date:** 09/01/2016
- **Last updated:** 09/01/2016