Jason Aaron Dewitt in Lafayette - Oral And Maxillofacial Surgery
Jason Aaron Dewitt - NPI 1447371984
Jason Aaron Dewitt is a Oral And Maxillofacial Surgery in Lafayette, Indiana. Jason Aaron Dewitt practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Jason Aaron Dewitt is 1447371984. The last update date is 2010-09-28.
Jason Aaron Dewitt's current location address is 2204 Scott St, Lafayette, Indiana. You can contact this provider via phone number 7654470525 and fax number 7654475815. The mailing address for Jason Aaron Dewitt is 2204 Scott St, Lafayette, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Aaron Dewitt |
|---|---|
| Address | 2204 Scott St, Lafayette, Indiana |
| Phone Number | 7654470525 |
| Fax Number | 7654475815 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1447371984 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2010-09-28 |
Provider Mailing Address Detail
| Address | 2204 Scott St |
|---|---|
| City | Lafayette |
| State | Indiana (IN) |
| Post Code | 479042933 |
| Phone Number | 7654470525 |
| Fax Number | 7654475815 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 12010545A |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12010545A | IN | DENTAL LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Jason Aaron Dewitt by the Centers for Medicare & Medicaid Services?
The Jason Aaron Dewitt has been issued the NPI (National Provider Identifier) 1447371984. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jason Aaron Dewitt's physical address?
The Jason Aaron Dewitt is physically located at 2204 Scott St, in the city of Lafayette, IN, with the postal code 479042933.
What is Jason Aaron Dewitt's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jason Aaron Dewitt's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
When did the Jason Aaron Dewitt receive its 1447371984?
The Jason Aaron Dewitt was issued its 1447371984 on 2007-04-03, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Jason Aaron Dewitt most recently updated or revised?
The information pertaining to Jason Aaron Dewitt, including its address, specialty, and other relevant details, was last updated or revised on 2010-09-28.
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