Jason William Evison in Ketchikan - Dentist
Jason William Evison - NPI 1871781625
Jason William Evison is a Dentist in Ketchikan, Alaska. Jason William Evison practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jason William Evison is 1871781625. The last update date is 2010-06-22.
Jason William Evison's current location address is 1621 Tongass Ave, Ketchikan, Alaska. You can contact this provider via phone number 9072258228. The mailing address for Jason William Evison is 1621 Tongass Ave, Ketchikan, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason William Evison |
|---|---|
| Address | 1621 Tongass Ave, Ketchikan, Alaska |
| Phone Number | 9072258228 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1871781625 |
|---|---|
| Provider Enumeration Date | 2007-10-05 |
| Last Updated Date | 2010-06-22 |
Provider Mailing Address Detail
| Address | 1621 Tongass Ave |
|---|---|
| City | Ketchikan |
| State | Alaska (AK) |
| Post Code | 999016013 |
| Phone Number | 9072258228 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 1235 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DD0034 | AK | -- | |
| 1235 | AK | STATE LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Jason William Evison by the Centers for Medicare & Medicaid Services?
The Jason William Evison has been issued the NPI (National Provider Identifier) 1871781625. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jason William Evison's facilities are situated?
The facilities of Jason William Evison are physically located at the following address: 1621 Tongass Ave, Ketchikan, AK, 999016013.
What is Jason William Evison's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jason William Evison is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
When was the Jason William Evison's 1871781625 issued?
The Jason William Evison's 1871781625 was issued on 2007-10-05.
As of what date were the details pertaining to Jason William Evison last refreshed?
The information related to the Jason William Evison, including its address, specialty, and other relevant details, was last updated on 2010-06-22.
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