Freshman, Jason Pelser

Freshman, Jason Pelser is an individual health care provider with primary practice located at 384 Lowell Street Suite 106, Wakefield MA 01880. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Freshman, Jason Pelser can be contacted via phone (781) 245-5788.

Contact Information

Primary practice address
384 Lowell Street Suite 106 Wakefield MA 01880
Phone: (781) 245-5788
Fax: (781) 245-5793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10767 Massachusetts

Profile Details

NPI number 1962425835
LBN Legal business name Freshman, Jason Pelser
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962425835 NPPES
Massachusetts Other X03643 BCBS

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