Organization
JT DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON JON THIMJON DDS (OWNER/DOCTOR)
(651) 423-1900
Entity
Organization
Contact information
Practice address
15180 CHIPPENDALE AVE W, ROSEMOUNT, MN 55068-1523
(651) 423-1900
(651) 423-6595
Mailing address
15180 CHIPPENDALE AVE W, ROSEMOUNT, MN 55068-1523
(651) 423-1900
(651) 423-6595
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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