# JASA DENTAL SPECIALTIES LLC

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

## Provider details

- **NPI number:** 1538854823
- **Authorized official:** DONALD J SABOURIN DDS (OWNER)
- **Authorized official phone:** (989) 964-1301

## Contact information

- **Practice address:** 3456 SHATTUCK RD STE 3, SAGINAW, MI 48603-7013
- **Practice address phone:** (989) 792-8315
- **Mailing address:** 615 WASHINGTON AVE, BAY CITY, MI 48708-5727
- **Mailing address phone:** (248) 886-9611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 04/11/2023
- **Last updated:** 04/11/2023