Organization
JASON CHAMPAGNE III PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON L CHAMPAGNE DDS (MEMBER)
(775) 636-9939
Entity
Organization
Contact information
Practice address
175 BRINKBY AVE, RENO, NV 89509-4327
(775) 636-9939
Mailing address
255 GLENDALE AVE STE 3, SPARKS, NV 89431-5777
(775) 636-9939
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
11/09/2021
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