Jason Booth is a Endodontics in Surprise, Arizona. Jason Booth practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Jason Booth is 1659393023. The last update date is 2007-09-07.
Jason Booth's current location address is 15294 W Brookside Ln, Surprise, Arizona. You can contact this provider via phone number 6233767400 and fax number 6233767489. The mailing address for Jason Booth is 15294 W Brookside Ln, Surprise, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Booth |
|---|---|
| Address | 15294 W Brookside Ln, Surprise, Arizona |
| Phone Number | 6233767400 |
| Fax Number | 6233767489 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1659393023 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2007-09-07 |
Provider Mailing Address Detail
| Address | 15294 W Brookside Ln |
|---|---|
| City | Surprise |
| State | Arizona (AZ) |
| Post Code | 853743999 |
| Phone Number | 6233767400 |
| Fax Number | 6233767489 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 5542 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique identifier code issued to Jason Booth by the Centers for Medicare & Medicaid Services?
The Jason Booth has been assigned the NPI (National Provider Identifier) 1659393023. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jason Booth is physically located?
The Jason Booth is physically situated at the following address: 15294 W Brookside Ln, Surprise, AZ, 853743999.
What is Jason Booth's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jason Booth's area of specialization is Endodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1659393023 to Jason Booth?
The Centers for Medicare & Medicaid Services assigned the 1659393023 to Jason Booth on 2006-07-24.
As of what date were the details pertaining to Jason Booth last refreshed?
The information related to the Jason Booth, including its address, specialty, and other relevant details, was last updated on 2007-09-07.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY