Condro, Jason

Condro, Jason is an individual health care provider with primary practice located at 1852 N Mastick Way , Nogales AZ 85621-1063. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Condro, Jason can be contacted via phone (520) 375-5032.

Contact Information

Primary practice address
1852 N Mastick Way Nogales AZ 85621-1063
Phone: (520) 375-5032
Fax: (520) 761-2159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D009145 Arizona

Profile Details

NPI number 1942628920
LBN Legal business name Condro, Jason
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2014
Last updated Apr 1st, 2024 - about 2 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 1942628920 NPPES
Arizona MEDICAID 046491

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