Dr. Jason Michael Fackender, DMD
Dentist, General Practice in Fort Hood, TX. Individual provider (NPI-1).
NPI number1497301691
StatusActive
Last updated in NPPESAug 13, 2019
Details
- NPI
- 1497301691
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jason Michael Fackender
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2019
- Last updated
- Aug 13, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN24276 | FL | Yes |
Practice location
36000 Darnall LoopFort Hood, TX 76544-5095
Phone 254-287-2705
Mailing address
36000 Darnall LoopFort Hood, TX 76544-5095
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All 25 General Practice Dentistry providers in Fort Hood · All 1,212 providers in Fort Hood
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