# JASON M. ROUSH D.D.S. INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033131537
- **Authorized official:** DR. JASON M. ROUSH D.D.S. (PRESIDENT)
- **Authorized official phone:** (304) 420-9022

## Contact information

- **Practice address:** 1401 BLIZZARD DR, PARKERSBURG, WV 26101-6422
- **Practice address phone:** (304) 420-0922
- **Practice address fax:** (304) 420-0924
- **Mailing address:** 1401 BLIZZARD DR, PARKERSBURG, WV 26101-6422
- **Mailing address phone:** (304) 420-0922
- **Mailing address fax:** (304) 420-0924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3396 | WV | Yes |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 12/02/2008