Jason G Souyias in Port Huron - Periodontics
Jason G Souyias - NPI 1205042785
Jason G Souyias is a Periodontics in Port Huron, Michigan. Jason G Souyias practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jason G Souyias is 1205042785. The last update date is 2014-07-24.
Jason G Souyias's current location address is 1175 Thomas Edison Dr, Port Huron, Michigan. You can contact this provider via phone number 8109871400 and fax number 8109871349. The mailing address for Jason G Souyias is 1175 Thomas Edison Dr, Port Huron, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason G Souyias |
|---|---|
| Address | 1175 Thomas Edison Dr, Port Huron, Michigan |
| Phone Number | 8109871400 |
| Fax Number | 8109871349 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1205042785 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2014-07-24 |
Provider Mailing Address Detail
| Address | 1175 Thomas Edison Dr |
|---|---|
| City | Port Huron |
| State | Michigan (MI) |
| Post Code | 480608500 |
| Phone Number | 8109871400 |
| Fax Number | 8109871349 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 2901019200 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jason G Souyias by the Centers for Medicare & Medicaid Services?
The Jason G Souyias has been issued the NPI (National Provider Identifier) 1205042785 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jason G Souyias's physical address?
The Jason G Souyias is physically located at 1175 Thomas Edison Dr, in the city of Port Huron, MI, with the postal code 480608500.
What is the Jason G Souyias's specialty and taxonomy code?
The Jason G Souyias's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1205042785 to Jason G Souyias?
The Centers for Medicare & Medicaid Services assigned the 1205042785 to Jason G Souyias on 2007-05-14.
As of what date was the information pertaining to Jason G Souyias, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jason G Souyias, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-07-24.