| Jason Champagne Vi,pc | |
|
5050 Vista Blvd Unit 107 Sparks NV 89436-2845 | |
| (775) 626-6556 | |
| Not Available |
| Full Name | Jason Champagne Vi,pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5050 Vista Blvd Unit 107, Sparks, Nevada |
| Authorized Official Name and Position | Jason Champagne (OWNER) |
| Authorized Official Contact | 7756266556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Champagne Vi,pc Po Box 2070 Sparks NV 89432-2070 Ph: () - | Jason Champagne Vi,pc 5050 Vista Blvd Unit 107 Sparks NV 89436-2845 Ph: (775) 626-6556 |
| NPI Number | 1053117473 |
|---|---|
| Provider Enumeration Date | 02/25/2025 |
| Last Update Date | 02/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053117473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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