Jason Terry Bock in Brea - Orthodontics And Dentofacial Orthopedics
Jason Terry Bock - NPI 1609063528
Jason Terry Bock is a Orthodontics And Dentofacial Orthopedics in Brea, California. Jason Terry Bock practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Jason Terry Bock is 1609063528. The last update date is 2007-09-26.
Jason Terry Bock's current location address is 420 W Central Ave, Brea, California. You can contact this provider via phone number 7149904114 and fax number 7145292559. The mailing address for Jason Terry Bock is 420 W Central Ave, Brea, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Terry Bock |
|---|---|
| Address | 420 W Central Ave, Brea, California |
| Phone Number | 7149904114 |
| Fax Number | 7145292559 |
| Sole Proprietor | Y |
| Credentials | DDS MS |
NPI Number Detail
| NPI Number | 1609063528 |
|---|---|
| Provider Enumeration Date | 2007-09-25 |
| Last Updated Date | 2007-09-26 |
Provider Mailing Address Detail
| Address | 420 W Central Ave |
|---|---|
| City | Brea |
| State | California (CA) |
| Post Code | 928213001 |
| Phone Number | 7149904114 |
| Fax Number | 7145292559 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 32694 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the Jason Terry Bock's 1609063528?
The Jason Terry Bock's NPI (National Provider Identifier) Number is 1609063528. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jason Terry Bock?
The Jason Terry Bock is situated at 420 W Central Ave, in the city of Brea, state of CA, with the zip code 928213001.
What is Jason Terry Bock's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jason Terry Bock is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609063528 to Jason Terry Bock?
The Centers for Medicare & Medicaid Services originally issued the 1609063528 to Jason Terry Bock on 2007-09-25.
When was the information regarding Jason Terry Bock, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jason Terry Bock, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-09-26.
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