1457476616 NPI number — DR. JASON RICHARD OBERHAND DDS

Table of content: DR. JASON RICHARD OBERHAND DDS (NPI 1457476616)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457476616 NPI number — DR. JASON RICHARD OBERHAND DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OBERHAND
Provider First Name:
JASON
Provider Middle Name:
RICHARD
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457476616
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/24/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
105 TECHNOLOGY DR
Provider Second Line Business Mailing Address:
SUITE 2B
Provider Business Mailing Address City Name:
TRUMBULL
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06611-6348
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-261-8749
Provider Business Mailing Address Fax Number:
203-261-2219

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
105 TECHNOLOGY DR
Provider Second Line Business Practice Location Address:
SUITE 2B
Provider Business Practice Location Address City Name:
TRUMBULL
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06611-6348
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-261-8749
Provider Business Practice Location Address Fax Number:
203-261-2219
Provider Enumeration Date:
03/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  8972 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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