Dahl, Jason O

Dahl, Jason O is an sole proprietor health care provider with primary practice located at 1119 Sims St , Dickinson ND 58601. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dahl, Jason O can be contacted via phone (701) 227-1193.

Contact Information

Primary practice address
1119 Sims St Dickinson ND 58601
Fax: (701) 225-1163
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1883 North Dakota

Profile Details

NPI number 1790859767
LBN Legal business name Dahl, Jason O
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Oct 7th, 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 1790859767 NPPES
North Dakota Other 971883 BLUE CROSS BLUE SHIELD ND
North Dakota MEDICAID 41275 BLUE CROSS BLUE SHIELD ND

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