Organization
JASON A PATE DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON A PATE DDS (OWNER)
(919) 680-3368
Entity
Organization
Contact information
Practice address
415 DUNSTAN AVE, DURHAM, NC 27707-2321
(919) 680-3368
(919) 687-7734
Mailing address
415 DUNSTAN AVE, DURHAM, NC 27707-2321
(919) 680-3368
(919) 687-7734
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
107472
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902N2
—
NC
Enumeration date
10/03/2007
Last updated
10/03/2007
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