Ouellette, Jason Patrick
Ouellette, Jason Patrick is an individual health care provider with primary practice located at 455 Magnolia Ave Ste B , Merritt Island FL 32952-4838. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Ouellette, Jason Patrick can be contacted via phone (180) 076-7645.Contact Information
Primary practice address
455 Magnolia Ave Ste B
Merritt Island FL 32952-4838
Phone: (180) 076-7645
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN19187 | Florida |
| Dental Providers / Dentist | 122300000X | DN014030 | Georgia |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DN 19187 | Florida |
Profile Details
| NPI number | 1891027181 |
|---|---|
| LBN Legal business name | Ouellette, Jason Patrick |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2010 |
| Last updated | Sep 27th, 2013 - about 13 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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