Individual
DR. JASON P POPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
999 WALT WHITMAN RD, SUITE 302, MELVILLE, NY 11747-3007
(631) 385-9400
Mailing address
999 WALT WHITMAN RD, SUITE 302, MELVILLE, NY 11747-3007
(631) 385-9400
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
051411-1
NY
Other
Enumeration date
04/04/2007
Last updated
02/06/2011
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