Individual provider · NPI-1

Jason Acuff, D.D.S.

Dentist · Avondale, AZ

NPI number1992195101
StatusActive
Last updated in NPPESJan 26, 2015

Details

NPI
1992195101
Entity type
Individual (NPI-1)
Name
Jason Acuff
Credential
D.D.S.
Sex
Male
Sole proprietor
No
Enumeration date
Jan 26, 2015
Last updated
Jan 26, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist4814AZYes

Practice location

11335 W Buckeye Rd Ste C101
Avondale, AZ 85323-6814

Phone 623-478-0149

Mailing address

11335 W Buckeye Rd Ste C101
Avondale, AZ 85323-6814

Phone 623-478-0149

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