| Jacob J Foutz Dmd, Llc | |
|
806 E Jackson St Medford OR 97504-6773 | |
| (541) 734-5225 | |
| Not Available |
| Full Name | Jacob J Foutz Dmd, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 806 E Jackson St, Medford, Oregon |
| Authorized Official Name and Position | Jacob Foutz (DENTIST) |
| Authorized Official Contact | 5417345225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob J Foutz Dmd, Llc 806 E Jackson St Medford OR 97504-6773 Ph: (541) 734-5225 | Jacob J Foutz Dmd, Llc 806 E Jackson St Medford OR 97504-6773 Ph: (541) 734-5225 |
| NPI Number | 1326537143 |
|---|---|
| Provider Enumeration Date | 05/07/2018 |
| Last Update Date | 05/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326537143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D10292 (Oregon) | Primary |
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