Jason Dettori, MD
Ophthalmology in Everett, Washington
1124281076- Practice location
- 2930 Maple St, Everett, WA 98201-3832
- Phone
- 425-261-1500
- Fax
- —
- Last updated
- March 30, 2021
Jason Dettori is an Ophthalmology based in Everett, WA. Jason Dettori practices in Everett, WA and has the professional credentials of MD. The NPI Number for Jason Dettori is 1124281076 and holds a License No. MD60236693 (WA). The current practice location address for Jason Dettori is 2930 Maple St, Everett, WA 98201-3832 and can be reached out via phone at 425-261-1500.
Provider Profile Details
- NPI Number
- 1124281076
- Provider Name
- Jason Dettori
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2930 Maple St, Everett, WA 98201-3832
- Phone Number
- 425-261-1500
- Primary Taxonomy
- Ophthalmology · 207W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 9, 2008
- Last Update Date
- March 30, 2021
- Certification Date
- March 30, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2930 Maple St
Everett, WA 98201-3832 - City
- Everett
- State
- Washington
- Zip
- 98201-3832
- Phone Number
- 425-261-1500
Provider Business Mailing Address Details
- Address
- 11511 NE 10TH St
Bellevue, WA 98004-8578 - City
- Bellevue
- State
- WA
- Zip
- 98004-8578
- Phone Number
- 425-502-3000
- Fax Number
- 425-502-3589
License Information
- License Number (1)
- MD60236693
- License State (1)
- WA
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- MD60236693
- License State (2)
- WA
- Taxonomy (2)
- Ophthalmology · 207W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jason Dettori, MD?
The NPI number of Jason Dettori, MD is 1124281076. It was assigned on July 9, 2008 and is currently active in the NPPES registry.
What is the specialty of Jason Dettori, MD?
Jason Dettori, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in WA under license number MD60236693.
Where does Jason Dettori, MD practice?
The practice location is 2930 Maple St, Everett, WA 98201-3832. The office can be reached at 425-261-1500 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124281076 directly on the NPPES registry website.