Individual
JASON ADAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
55 FRUIT ST # 230, BOSTON, MA 02114-2621
(617) 726-2740
Mailing address
35 LOMASNEY WAY APT 2600, BOSTON, MA 02114-1517
(617) 352-5081
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DL100768
MA
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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