Mailhot, Jason M

Mailhot, Jason M is an individual health care provider with primary practice located at 2600 N Mayfair Rd Suite #340, Wauwatosa WI 53226-1309. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Mailhot, Jason M can be contacted via phone (414) 259-0660.

Contact Information

Primary practice address
2600 N Mayfair Rd Suite #340 Wauwatosa WI 53226-1309
Phone: (414) 259-0660
Fax: (414) 259-0819
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 6063-015 Wisconsin
Dental Providers / Periodontics 1223P0300X DN012270 Georgia

Profile Details

NPI number 1851346613
LBN Legal business name Mailhot, Jason M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851346613 NPPES
South Carolina MEDICAID ZG0219

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