Organization
JASON A DUNVILLE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON A DUNVILLE DDS (DOCTOR)
(573) 635-2571
Entity
Organization
Contact information
Practice address
3237 W TRUMAN BLVD STE 201, JEFFERSON CITY, MO 65109-6944
(573) 635-2571
Mailing address
3237 W TRUMAN BLVD STE 201, JEFFERSON CITY, MO 65109-6944
(573) 635-2571
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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