Individual
DR. JASON D ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, FACP
Contact information
Practice address
5136 VILLAGE CREEK DR STE 501, PLANO, TX 75093-4460
(972) 931-1777
(972) 931-8259
Mailing address
5136 VILLAGE CREEK DR STE 501, PLANO, TX 75093-4460
(972) 931-1777
(972) 931-8259
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22741
TX
1223P0700X
Prosthodontics
Primary
22741
TX
Other
Enumeration date
08/09/2006
Last updated
01/08/2019
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