Ouellette, Jason Patrick

Ouellette, Jason Patrick is an individual health care provider with primary practice located at 455 Magnolia Ave Ste B , Merritt Island FL 32952-4838. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Ouellette, Jason Patrick can be contacted via phone (180) 076-7645.

Contact Information

Primary practice address
455 Magnolia Ave Ste B Merritt Island FL 32952-4838
Phone: (180) 076-7645
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN19187 Florida
Dental Providers / Dentist 122300000X DN014030 Georgia
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN 19187 Florida

Profile Details

NPI number 1891027181
LBN Legal business name Ouellette, Jason Patrick
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2010
Last updated Sep 27th, 2013 - about 11 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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