Doctor profile · Federal record
Dr. Jacob Groom, DMD
General Practice Dentistry · Vancouver, WA
- NPI 1902476682
- 5 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
7012 Ne 40Th St
Vancouver, WA 986613052
(360) 254-5254 - Mailing address
-
4530 Nw Walden St
Camas, WA 986079130
Credentials & registration
- NPI registered
- June 2021 — 5 yrs on file
- Profile last updated
- April 11, 2025
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Washington #DE61203036
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1902476682. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$18
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Peter Brasseler Holdings, LLC | 1 | $18.24 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
36
Patients
31
Total drug cost
$123
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 36 | 31 | $123 |
Frequently asked questions
What is Dr. Jacob Groom's medical specialty?
Dr. Jacob Groom practices General Practice Dentistry in Vancouver, WA.
Where does Dr. Jacob Groom practice?
Dr. Jacob Groom practices at 7012 Ne 40Th St, Vancouver, WA 986613052. Office phone: 3602545254.
What is Dr. Jacob Groom's NPI?
Dr. Jacob Groom's National Provider Identifier (NPI) is 1902476682, issued by NPPES.