Alvarez, Jason Robert

Alvarez, Jason Robert is an individual health care provider with primary practice located at 2881 Highway 190 Ste D4 , Mandeville LA 70471-3248. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Alvarez, Jason Robert can be contacted via phone (985) 626-8980.

Contact Information

Primary practice address
2881 Highway 190 Ste D4 Mandeville LA 70471-3248
Phone: (985) 626-8980
Fax: (985) 727-4660
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6261 Louisiana
Dental Providers / Dentist 122300000X 6261 Louisiana

Profile Details

NPI number 1720348055
LBN Legal business name Alvarez, Jason Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2012
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720348055 NPPES
Louisiana MEDICAID 2852582

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