Individual
DR. JASON SCOTT KLINGENSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1009 CAPABILITY DR, BUILDING 2, SUITE 100, RALEIGH, NC 27606-5515
(919) 515-8979
Mailing address
1009 CAPABILITY DR, BUILDING 2, SUITE 100, RALEIGH, NC 27606-5515
(919) 515-8979
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8511
NC
1223G0001X
General Practice Dentistry
DS031317L
PA
Other
Enumeration date
02/07/2007
Last updated
03/03/2017
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