Dale, Jason

Dale, Jason is an sole proprietor health care provider with primary practice located at 1928 Commerce Ln Ste 1 , Jupiter FL 33458-5598. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Dale, Jason can be contacted via phone (561) 210-7333.

Contact Information

Primary practice address
1928 Commerce Ln Ste 1 Jupiter FL 33458-5598
Phone: (561) 210-7333
Fax: (561) 529-2618
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN 21447 Florida
Dental Providers / Pediatric Dentistry 1223P0221X DN21447 Florida

Profile Details

NPI number 1902270705
LBN Legal business name Dale, Jason
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2015
Last updated Jan 23rd, 2019 - about 7 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 1902270705 NPPES
Florida MEDICAID 024664900

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