Booth, Jason

Booth, Jason is an individual health care provider with primary practice located at 15294 W Brookside Ln Ste 100, Surprise AZ 85374-3999. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Booth, Jason can be contacted via phone (623) 376-7400.

Contact Information

Primary practice address
15294 W Brookside Ln Ste 100 Surprise AZ 85374-3999
Phone: (623) 376-7400
Fax: (623) 376-7489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 5542 Arizona

Profile Details

NPI number 1659393023
LBN Legal business name Booth, Jason
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Sep 7th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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