Costa, Jason Douglas

Costa, Jason Douglas is an sole proprietor health care provider with primary practice located at 3300 E Central Texas Expy 302, Killeen TX 76543-5306. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Costa, Jason Douglas can be contacted via phone (254) 699-6799.

Contact Information

Primary practice address
3300 E Central Texas Expy 302 Killeen TX 76543-5306
Phone: (254) 699-6799
Fax: (254) 699-3465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 23604 Texas

Profile Details

NPI number 1508046384
LBN Legal business name Costa, Jason Douglas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2007
Last updated Nov 8th, 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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