Jason Ma, DDS
Individual provider Active NPI General Practice Dentistry · Oxford, NC
NPI 1366061657 · NPPES record last updated May 20, 2024
Key facts
- NPI
- 1366061657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 13270 (NC)
- Practice address
- 111 E Industry Dr
Oxford, NC 27565-3559 - Phone
- (196) 938-9229
- NPI assigned
- Apr 16, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13270 | NC | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13270 | NC | Yes |
Addresses
Primary practice location
111 E Industry Dr
Oxford, NC 27565-3559
Mailing address
655 E 14TH St Apt 2B
New York, NY 10009-3139
Phone (858) 602-8885
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All providers in Oxford, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.