Dejarlais, Daniel Jason
Dejarlais, Daniel Jason is an individual health care provider with primary practice located at 7001 Old Sauk Rd , Madison WI 53717-2308. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Dejarlais, Daniel Jason can be contacted via phone (608) 833-6545.Contact Information
Primary practice address
7001 Old Sauk Rd
Madison WI 53717-2308
Phone: (608) 833-6545
Fax: (608) 833-8516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 5036-15 | Wisconsin |
Profile Details
| NPI number | 1669573895 |
|---|---|
| LBN Legal business name | Dejarlais, Daniel Jason |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669573895 | NPPES |
| Wisconsin | MEDICAID | 33755100 |
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