| Jason A Pate Dds Pllc | |
|
415 Dunstan Ave Durham NC 27707-2321 | |
| (919) 680-3368 | |
| (919) 687-7734 |
| Full Name | Jason A Pate Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 415 Dunstan Ave, Durham, North Carolina |
| Authorized Official Name and Position | Jason A Pate (OWNER) |
| Authorized Official Contact | 9196803368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason A Pate Dds Pllc 415 Dunstan Ave Durham NC 27707-2321 Ph: (919) 680-3368 | Jason A Pate Dds Pllc 415 Dunstan Ave Durham NC 27707-2321 Ph: (919) 680-3368 |
| NPI Number | 1912194952 |
|---|---|
| Provider Enumeration Date | 10/03/2007 |
| Last Update Date | 10/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912194952 | NPI | - | NPPES |
| 89902N2 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 107472 (North Carolina) | Primary |
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