Healthcare Provider Details

I. General information

NPI: 1659210896
Provider Name (Legal Business Name): JORDAN PRIESS DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14315 62ND AVE NW
GIG HARBOR WA
98332-8664
US

IV. Provider business mailing address

14315 62ND AVE NW
GIG HARBOR WA
98332-8664
US

V. Phone/Fax

Practice location:
  • Phone: 253-851-4025
  • Fax: 253-432-4575
Mailing address:
  • Phone: 253-851-4025
  • Fax: 253-432-4575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANN MONKHOUSE
Title or Position: OFFICE BILLING MANAGER
Credential:
Phone: 253-851-4025