Vettraino, Jason T

Vettraino, Jason T is an individual health care provider with primary practice located at 43380 Woodward Ave Ste 107 , Bloomfield Hills MI 48302-5050. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Vettraino, Jason T can be contacted via phone (248) 338-3550.

Contact Information

Primary practice address
43380 Woodward Ave Ste 107 Bloomfield Hills MI 48302-5050
Phone: (248) 338-3550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 19218 Michigan

Profile Details

NPI number 1760535298
LBN Legal business name Vettraino, Jason T
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Jun 6th, 2016 - about 8 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 1760535298 NPPES
Michigan MEDICAID 124832641

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