Jason a Follett DMD PC

Organization Active NPI General Practice Dentistry · Enterprise, OR

NPI 1629316401 · NPPES record last updated Jan 29, 2013

Key facts

NPI
1629316401
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
D9543 (OR)
Legal business name
JASON A FOLLETT DMD PC
Practice address
204 Residence St
Enterprise, OR 97828-1607
Phone
(541) 426-3531
Fax
(541) 426-8411
NPI assigned
Jan 29, 2013
Organization subpart
No

Authorized official

Name
Dr. Jason A Follett, DMD
Title
Owner
Phone
(541) 426-3531

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

204 Residence St
Enterprise, OR 97828
Phone (541) 426-3531

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X D9543 OR Yes

Addresses

Primary practice location

204 Residence St
Enterprise, OR 97828-1607

Mailing address

204 Residence St
Enterprise, OR 97828-1607
Phone (541) 426-3531

Other providers in Enterprise, OR

All providers in Enterprise, OR · General Practice Dentistry in Oregon

Sources for this page

Verify at the official NPI Registry.