Jason Gerard Mandelaris in Lindon - Pediatric Dentistry
Jason Gerard Mandelaris - NPI 1811144785
Jason Gerard Mandelaris is a Pediatric Dentistry in Lindon, Utah. Jason Gerard Mandelaris practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Jason Gerard Mandelaris is 1811144785. The last update date is 2010-07-12.
Jason Gerard Mandelaris's current location address is 275 W 200 N, Lindon, Utah. You can contact this provider via phone number 8017692530. The mailing address for Jason Gerard Mandelaris is 275 W 200 N, Lindon, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Gerard Mandelaris |
|---|---|
| Address | 275 W 200 N, Lindon, Utah |
| Phone Number | 8017692530 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1811144785 |
|---|---|
| Provider Enumeration Date | 2008-08-22 |
| Last Updated Date | 2010-07-12 |
Provider Mailing Address Detail
| Address | 275 W 200 N |
|---|---|
| City | Lindon |
| State | Utah (UT) |
| Post Code | 840425009 |
| Phone Number | 8017692530 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 7579613-9922 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the Jason Gerard Mandelaris's 1811144785?
The Jason Gerard Mandelaris's NPI (National Provider Identifier) Number is 1811144785. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jason Gerard Mandelaris is physically located?
The Jason Gerard Mandelaris is physically situated at the following address: 275 W 200 N, Lindon, UT, 840425009.
What is the area of specialization for Jason Gerard Mandelaris, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jason Gerard Mandelaris is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date was the 1811144785 assigned to Jason Gerard Mandelaris?
The Jason Gerard Mandelaris was issued its 1811144785 on 2008-08-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jason Gerard Mandelaris most recently updated or revised?
The details related to Jason Gerard Mandelaris, including its address, specialty, and other relevant information, were last updated or revised on 2010-07-12.