Boutwell, Jason G
Boutwell, Jason G is an sole proprietor health care provider with primary practice located at 3009 Chapel Hill Rd Suite A, Douglasville GA 30135-1748. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Boutwell, Jason G can be contacted via phone (770) 942-8288.Contact Information
Primary practice address
3009 Chapel Hill Rd Suite A
Douglasville GA 30135-1748
Phone: (770) 942-8288
Fax: (770) 942-9121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 011683 | Georgia |
Profile Details
| NPI number | 1144224478 |
|---|---|
| LBN Legal business name | Boutwell, Jason G |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Sep 3rd, 2015 - about 11 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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