Individual
JASON ROBERT SASSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
933 3 MILE RD NW STE 110, GRAND RAPIDS, MI 49544-1673
(616) 784-6300
Mailing address
421 BENSON AVE NE APT 2113, GRAND RAPIDS, MI 49503-0003
(734) 775-4929
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602547
MI
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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