# JASON ERICKSON DDS, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Erickson Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730339441
- **Authorized official:** JASON W ERICKSON (OFFICER)
- **Authorized official phone:** (972) 717-0077

## Contact information

- **Practice address:** 4030 N MACARTHUR BLVD, SUITE 100, IRVING, TX 75038-6429
- **Practice address phone:** (972) 717-0077
- **Mailing address:** 4030 N MACARTHUR BLVD, SUITE 100, IRVING, TX 75038-6429
- **Mailing address phone:** (972) 717-0077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22975 | TX | Yes |

## Other

- **Enumeration date:** 09/30/2008
- **Last updated:** 09/30/2008