Jason A Barzee, DDS
Individual provider Active NPI Dentist · Bolivar, MO
NPI 1750811642 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1750811642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2017019310 (MO)
- Practice address
- 1300 N Oakland Ave Ste C
Bolivar, MO 65613-3008 - Phone
- (417) 326-2244
- Fax
- (417) 326-8013
- NPI assigned
- Jun 14, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 2017019310 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Donald R. Jump DDS Inc PC | Past |
Accepting new patients | |
| Jump Dental, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2017019310 | MO | Yes |
Addresses
Primary practice location
1300 N Oakland Ave Ste C
Bolivar, MO 65613-3008
Mailing address
1300 N Oakland Ave Ste C
Bolivar, MO 65613-3008
Phone (417) 326-2244
Other providers in Bolivar, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.