| Jason W. Evison, D.D.S., P.C. | |
|
1621 Tongass Ave Suite 103 Ketchikan AK 99901-6013 | |
| (907) 225-8228 | |
| Not Available |
| Full Name | Jason W. Evison, D.D.S., P.C. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1621 Tongass Ave, Ketchikan, Alaska |
| Authorized Official Name and Position | Jason W Evison (DIRECTOR) |
| Authorized Official Contact | 9072258228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason W. Evison, D.D.S., P.C. 1621 Tongass Ave Suite 103 Ketchikan AK 99901-6013 | Jason W. Evison, D.D.S., P.C. 1621 Tongass Ave Suite 103 Ketchikan AK 99901-6013 Ph: (907) 225-8228 |
| NPI Number | 1205147444 |
|---|---|
| Provider Enumeration Date | 06/22/2010 |
| Last Update Date | 06/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205147444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1235 (Alaska) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Secondary |
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