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Dr. Jason Randall Acevedo, DDS
General Practice Dentistry in South Lake Tahoe, California
NPI 1326127663

Jason Randall Acevedo is a General Practice Dentistry based in South Lake Tahoe, CA and is specialized in General Practice. Jason Randall Acevedo practices in South Lake Tahoe, CA and has the professional credentials of DDS. The NPI Number for Jason Randall Acevedo is 1326127663 and holds a License No. 51539 (California).

The current practice location address for Jason Randall Acevedo is 3461 Lake Tahoe Blvd, South Lake Tahoe, CA and can be reached out via phone at 530-544-1050 and via fax at 530-544-1709.

Location: 3461 Lake Tahoe Blvd, South Lake Tahoe, CA, 96150
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326127663
Provider Name
Jason Randall Acevedo
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3461 Lake Tahoe Blvd, South Lake Tahoe, CA, 96150
Phone Number
530-544-1050
Fax Number
530-544-1709
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3461 Lake Tahoe Blvd
City
South Lake Tahoe
State
California
Zip
96150
Phone Number
530-544-1050
Fax Number
530-544-1709
person
Provider Business Mailing Address Details
Address
3461 Lake Tahoe Blvd
City
South Lake Tahoe
State
California
Zip
96150
Phone Number
530-544-1050
Fax Number
530-544-1709
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
51539 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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