Boutwell, Jason G
Boutwell, Jason G is an sole proprietor health care provider with primary practice located at 3009 Chapel Hill Rd Suite A, Douglasville GA 30135-1748. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Boutwell, Jason G can be contacted via phone (770) 942-8288.Contact Information
Primary practice address
3009 Chapel Hill Rd Suite A
Douglasville GA 30135-1748
Phone: (770) 942-8288
Fax: (770) 942-9121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 011683 | Georgia |
Profile Details
| NPI number | 1144224478 |
|---|---|
| LBN Legal business name | Boutwell, Jason G |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Sep 3rd, 2015 - about 9 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.
Popular Providers
-
Lamb, Michael G
3337 Highway 5 , Douglasville GA 30135-2307 -
Hair, Joe F
6842 Douglas Blvd Suite K, Douglasville GA 30135-1576 -
Leithner, Eric Sean
8590 Bowden St , Douglasville GA 30134-4525 -
Highsmith, Courtney Camp
3666 Highway 5 Ste 102 , Douglasville GA 30135-6940 -
Jones, Robin Marie
2976 Chapel Hill Rd Suite #300, Douglasville GA 30135-1733 -
Ellington, Thomas Cecil
9639 Highway 5 Suite 101, Douglasville GA 30135-1513 -
Deas, Brian Sherald
6095 Professional Pkwy Suite B-103, Douglasville GA 30134-5607 -
Hwang, Sang
8505 Hospital Dr , Douglasville GA 30134-2414