MEDICARE: DR. JESSICA RUTH KELLOGG D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DE60303386	WA

General Provider Information

NPI Number	:	1275877359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSICA RUTH KELLOGG D.D.S.

Provider Business Mailing Address
First Line	:	1710 SW 9TH AVE
Second Line	:	SUITE #120
City	:	BATTLE GROUND
State	:	WA
Zip	:	98604-3266
Country	:	US
Telephone Number	:	360-666-5248
Fax Number	:

Provider Business Practice Location Address
First Line	:	1710 SW 9TH AVE
Second Line	:	SUITE #120
City	:	BATTLE GROUND
State	:	WA
Zip	:	98604-3266
Country	:	US
Telephone Number	:	360-666-5248
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2012
Last Update Date	:	11/15/2012

Similar Medicare Providers

1679052062 — DR. SHIREEN G CHAWLA DDS
Practice Location Address:

1710 SW 9TH AVE
BATTLE GROUND, WA
98604-3266

Practice Phone: 360-436-6969
Practice Fax:

1144172792 — SAHIL JINDAL DDS
Practice Location Address:

105 HIGHLAND AVE STE 2
BATTLE CREEK, MI
49015-3266

Practice Phone: 269-257-7697
Practice Fax:

1326623075 — TRU DENTAL MICHIGAN PC
Practice Location Address:

105 HIGHLAND AVE STE 2
BATTLE CREEK, MI
49015-3266

Practice Phone: 269-964-3957
Practice Fax:

1174343180 — JACOB LEASE
Practice Location Address:

101 NW 12TH AVE STE 107
BATTLE GROUND, WA
98604-9141

Practice Phone: 360-723-0528
Practice Fax:

1548112113 — BRENDA LEIGH ROULET LICSW
Practice Location Address:

PO BOX 2832
BATTLE GROUND, WA
98604-2905

Practice Phone: 503-707-6829
Practice Fax:

1679577241 — MR. DELVIN R JONES M.S., P.A.-C
Practice Location Address:

2005 W MAIN ST STE 120
BATTLE GROUND, WA
98604-4311

Practice Phone: 360-882-2778
Practice Fax: 360-604-1690

Directions to “ DR. JESSICA RUTH KELLOGG D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.