| Dr. Jason M.stevens, D.m.d. | |
|
2176 Macland Rd Dallas GA 30157-5190 | |
| (770) 445-1081 | |
| (770) 445-7737 |
| Full Name | Dr. Jason M.stevens, D.m.d. |
|---|---|
| Speciality | Dentist |
| Location | 2176 Macland Rd, Dallas, Georgia |
| Authorized Official Name and Position | Jason Micheal Stevens (OWNER / DENTIST) |
| Authorized Official Contact | 7704451081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jason M.stevens, D.m.d. 2176 Macland Rd Dallas GA 30157-5190 Ph: (770) 445-1081 | Dr. Jason M.stevens, D.m.d. 2176 Macland Rd Dallas GA 30157-5190 Ph: (770) 445-1081 |
| NPI Number | 1457760746 |
|---|---|
| Provider Enumeration Date | 08/12/2014 |
| Last Update Date | 08/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457760746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN012439 (Georgia) | Primary |
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