Pendleton, Jason

Pendleton, Jason is an individual health care provider with primary practice located at 1637 Main St , Onalaska WI 54650. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / General Practice is his primary health care specialty. Pendleton, Jason can be contacted via phone (608) 781-3999.

Contact Information

Primary practice address
1637 Main St Onalaska WI 54650
Phone: (608) 781-3999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 711815 Wisconsin
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 30353 Iowa

Profile Details

NPI number 1942567466
LBN Legal business name Pendleton, Jason
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2012
Last updated Dec 8th, 2015 - about 11 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.

Request for update

Popular Providers