| Jason Dopp Dds Plc | |
|
1616 W Centre Ave Portage MI 49024-5328 | |
| (269) 327-7300 | |
| Not Available |
| Full Name | Jason Dopp Dds Plc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1616 W Centre Ave, Portage, Michigan |
| Authorized Official Name and Position | Jason Dopp (OWNER/DENTIST) |
| Authorized Official Contact | 2693524867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Dopp Dds Plc 1616 W Centre Ave Portage MI 49024-5328 Ph: (269) 327-7300 | Jason Dopp Dds Plc 1616 W Centre Ave Portage MI 49024-5328 Ph: (269) 327-7300 |
| NPI Number | 1831724210 |
|---|---|
| Provider Enumeration Date | 03/06/2020 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831724210 | NPI | - | NPPES |
| 1144388950 | Other | GOVERNMENT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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