Organization
JASON CHAMPAGNE II PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON CHAMPAGNE DDS (OWNER)
(775) 636-9939
Entity
Organization
Contact information
Practice address
601 W MOANA LN STE 6, RENO, NV 89509-4959
(775) 636-9939
Mailing address
601 W MOANA LN STE 6, RENO, NV 89509-4959
(775) 583-7755
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
08/17/2021
Last updated
10/15/2021
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