Individual
DR. JASON ABRAM MINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
110 VILLA RD, GREENVILLE, SC 29615-3010
(864) 282-1925
Mailing address
110 VILLA RD, GREENVILLE, SC 29615-3010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7043
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2011
Last updated
05/19/2014
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