| Jason M. Roush D.d.s. Inc. | |
|
1401 Blizzard Dr Parkersburg WV 26101-6422 | |
| (304) 420-0922 | |
| (304) 420-0924 |
| Full Name | Jason M. Roush D.d.s. Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1401 Blizzard Dr, Parkersburg, West Virginia |
| Authorized Official Name and Position | Jason M. Roush (PRESIDENT) |
| Authorized Official Contact | 3044209022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason M. Roush D.d.s. Inc. 1401 Blizzard Dr Parkersburg WV 26101-6422 Ph: (304) 420-0922 | Jason M. Roush D.d.s. Inc. 1401 Blizzard Dr Parkersburg WV 26101-6422 Ph: (304) 420-0922 |
| NPI Number | 1033131537 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 12/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033131537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3396 (West Virginia) | Primary |
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