Organization
JASON DOPP DDS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON DOPP DDS (OWNER/DENTIST)
(269) 352-4867
Entity
Organization
Contact information
Practice address
1616 W CENTRE AVE, PORTAGE, MI 49024-5328
(269) 327-7300
Mailing address
1616 W CENTRE AVE, PORTAGE, MI 49024-5328
(269) 327-7300
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144388950
GOVERNMENT
—
Enumeration date
03/06/2020
Last updated
07/21/2022
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