Landers, Jason Maschal

Landers, Jason Maschal is an individual health care provider with primary practice located at 1607 E Rainforest Dr , Fayetteville AR 72703-5385. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Landers, Jason Maschal can be contacted via phone (479) 582-0600.

Contact Information

Primary practice address
1607 E Rainforest Dr Fayetteville AR 72703-5385
Phone: (479) 582-0600
Fax: (479) 443-4630
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 154 Oklahoma
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 3412 Arkansas

Profile Details

NPI number 1467672972
LBN Legal business name Landers, Jason Maschal
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Dec 9th, 2013 - about 12 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 1467672972 NPPES
Arkansas Other 5A640 BCBS - INDIVIDUAL
Arkansas Other 200046160A BCBS - INDIVIDUAL

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