Jason K Potter in Southlake - Oral & Maxillofacial Surgery
Jason K Potter - NPI 1467449207
Jason K Potter is a Oral & Maxillofacial Surgery in Southlake, Texas. Jason K Potter practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Jason K Potter is 1467449207. The last update date is 2008-10-22.
Jason K Potter'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 is Po Box 93982, Southlake, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason K Potter |
|---|---|
| Address | Po Box 93982, Southlake, Texas |
| Phone Number | 2149306588 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D., D.D. |
NPI Number Detail
| NPI Number | 1467449207 |
|---|---|
| Provider Enumeration Date | 2005-10-05 |
| 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 | Oral & Maxillofacial Surgery |
|---|---|
| Taxonomy | 204E00000X |
| Licence No | MD25735 |
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Definition: Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 269840 | OR | -- |
Post Comment/ Review Below
Could you provide the complete physical address where Jason K Potter is located?
The Jason K Potter is situated at the following address: Po Box 93982, Southlake, TX, 760920119.
What is Jason K Potter's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jason K Potter is Oral & Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 204E00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1467449207 to Jason K Potter?
The Centers for Medicare & Medicaid Services assigned the 1467449207 to Jason K Potter on 2005-10-05.
When was the information related to Jason K Potter most recently updated or refreshed?
The details pertaining to the Jason K Potter, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-10-22.
As of what date was the information regarding Jason K Potter, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jason K Potter, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-10-22.