# JASON ALEXANDER JAMALI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1548483266
- **Gender:** Man
- **Credential:** DDS, MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 019029154 | IL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 021002485 | IL | Yes |

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 03/11/2015