Individual
DR. JASON DANIEL WOOLSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9000 ROGERS AVE, FORT SMITH, AR 72903-5249
(479) 452-8193
Mailing address
9000 ROGERS AVE, FORT SMITH, AR 72903-5249
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3705
AR
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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