Individual
DR. JASON JOHN CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1411 J F KENNEDY DR, BELLEVUE, NE 68005-3639
(402) 291-3535
(402) 291-4001
Mailing address
1411 J F KENNEDY DR, BELLEVUE, NE 68005-3639
(402) 291-3535
(402) 291-4001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6399
NE
Other
Enumeration date
01/11/2006
Last updated
06/06/2008
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