Individual
DR. JASON CHRISTOPHER MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2713 N MAIN ST, ANDERSON, SC 29621-3282
(864) 226-8272
(864) 964-9538
Mailing address
2713 N MAIN ST, ANDERSON, SC 29621-3282
(864) 226-8272
(864) 964-9538
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3611
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3611
—
SC
Enumeration date
05/21/2007
Last updated
07/08/2007
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