Dr. Jason Patrick Ouellette, D.D.S.
Dentist, Orthodontics and Dentofacial Orthopedics in Merritt Island, FL. Individual provider (NPI-1).
NPI number1891027181
StatusActive
Last updated in NPPESSep 27, 2013
Details
- NPI
- 1891027181
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jason Patrick Ouellette
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 11, 2010
- Last updated
- Sep 27, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | DN 19187 | FL | Yes |
| 122300000X | Dentist | DN19187 | FL | |
| 122300000X | Dentist | DN014030 | GA |
Practice location
455 Magnolia Ave Ste BMerritt Island, FL 32952-4838
Phone 180-076-7645
Mailing address
1254 Garrison DrSt Augustine, FL 32092-1075
Phone 404-414-0106
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Other Orthodontics and Dentofacial Orthopedics Dentistry providers in Merritt Island, FL
- Jeffrey Barlow, D.D.S.NPI 1396860060
- Ryan Lee Caudill, DMD, MSD, PANPI 1669781902
- N.Rao Kopuri, Bds.,ms.,pa.NPI 1972627438
- Paul Ludwig Ouellette, D.D.S., M.S.NPI 1861617409
All 5 Orthodontics and Dentofacial Orthopedics Dentistry providers in Merritt Island · All 1,094 providers in Merritt Island
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