Organization
JACOB D GROOM DMD PLLC
Active
Other names
Hiddenbrook Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB GROOM (MEMBER)
(503) 702-6532
Entity
Organization
Contact information
Practice address
19111 SE 34TH ST STE 104, VANCOUVER, WA 98683-1449
(360) 823-0427
Mailing address
19111 SE 34TH ST STE 104, VANCOUVER, WA 98683-1449
(360) 823-0427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/12/2025
Last updated
03/18/2026
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