Zimmerman, Jason A

Zimmerman, Jason A is an sole proprietor health care provider with primary practice located at 4545 Bellaire Dr S Ste 4 , Fort Worth TX 76109-1811. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Zimmerman, Jason A can be contacted via phone (214) 533-8183.

Contact Information

Primary practice address
4545 Bellaire Dr S Ste 4 Fort Worth TX 76109-1811
Phone: (214) 533-8183
Fax: (817) 796-2404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 20465 Texas
Dental Providers / Pediatric Dentistry 1223P0221X 20465 Texas

Profile Details

NPI number 1902874159
LBN Legal business name Zimmerman, Jason A
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2006
Last updated Oct 23rd, 2022 - about 3 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 1902874159 NPPES
Texas MEDICAID 151049709

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