Individual
DR. JASON ADAM FOLLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
204 RESIDENCE ST, ENTERPRISE, OR 97828-1607
(541) 426-3531
(541) 426-8411
Mailing address
204 RESIDENCE ST, ENTERPRISE, OR 97828-1607
(541) 426-3531
(541) 426-8411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9543
OR
Other
Enumeration date
08/06/2009
Last updated
04/21/2015
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