Jason K Potter Md Dds Pa in Southlake - Specialist

Jason K Potter Md Dds Pa - NPI 1164608709

Jason K Potter Md Dds Pa is a Specialist in Southlake, Texas. Jason K Potter Md Dds Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jason K Potter Md Dds Pa is 1164608709. The last update date is 2008-10-22.

Jason K Potter Md Dds Pa's current location address is Po Box 93982, Southlake, Texas. You can contact this provider via phone number 2149306588. The mailing address for Jason K Potter Md Dds Pa is Po Box 93982, Southlake, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jason K Potter Md Dds Pa
Address Po Box 93982, Southlake, Texas
Phone Number 2149306588
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Potter K Jason
Credentials M.D., D.D.
Telephone Number 2149306588

NPI Number Detail

NPI Number 1164608709
Provider Enumeration Date 2008-01-14
Last Updated Date 2008-10-22

Provider Mailing Address Detail

Address Po Box 93982
City Southlake
State Texas (TX)
Post Code 760920119
Phone Number 2149306588
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No M6345
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Jason K Potter Md Dds Pa

What is the Jason K Potter Md Dds Pa's unique identification number?

The Jason K Potter Md Dds Pa has been assigned the NPI (National Provider Identifier) Number 1164608709 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Jason K Potter Md Dds Pa's facilities are situated?

The facilities of Jason K Potter Md Dds Pa are physically located at the following address: Po Box 93982, Southlake, TX, 760920119.

What is the Jason K Potter Md Dds Pa's area of specialization and corresponding taxonomy classification?

The Jason K Potter Md Dds Pa's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

On what date did Jason K Potter Md Dds Pa receive its 1164608709 assignment from the Centers for Medicare & Medicaid Services?

The Jason K Potter Md Dds Pa was assigned its 1164608709 on 2008-01-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Jason K Potter Md Dds Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jason K Potter Md Dds Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-10-22.

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