# JASON W HARTMAN DDS PLLC

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

## Provider details

- **NPI number:** 1972099620
- **Authorized official:** DR. JASON WILLIAM HARTMAN DDS (OWNER)
- **Authorized official phone:** (517) 484-5811

## Contact information

- **Practice address:** 2805 E MOUNT HOPE AVE, LANSING, MI 48910-1916
- **Practice address phone:** (517) 484-5811
- **Mailing address:** 2805 E MOUNT HOPE AVE, LANSING, MI 48910-1916
- **Mailing address phone:** (517) 484-5811

## Taxonomy

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

## Other

- **Enumeration date:** 07/05/2018
- **Last updated:** 07/05/2018