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Mr. Jason Donald Mecum, DHAT
Dental Therapist in Coos Bay, Oregon
NPI 1508531666

Jason Donald Mecum is a Dental Therapist based in Coos Bay, OR. Jason Donald Mecum practices in Coos Bay, OR and has the professional credentials of DHAT. The NPI Number for Jason Donald Mecum is 1508531666 and holds a License No. 18-TDT-02 (Oregon).

The current practice location address for Jason Donald Mecum is 630 Miluk Dr, Coos Bay, OR and can be reached out via phone at 541-888-9494.

Location: 630 Miluk Dr, Coos Bay, OR, 97420-0407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508531666
Provider Name
Jason Donald Mecum
Credential
DHAT
Provider Entity Type
Individual
Gender
Male
Address
630 Miluk Dr, Coos Bay, OR, 97420-0407
Phone Number
541-888-9494
Fax Number
Provider Enumeration Date
08/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
630 Miluk Dr
City
Coos Bay
State
Oregon
Zip
97420-7728
Phone Number
541-888-9494
Fax Number
person
Provider Business Mailing Address Details
Address
630 Miluk Dr
City
Coos Bay
State
Oregon
Zip
97420-7728
Phone Number
541-888-9494
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Therapist
Speciality
-
Taxonomy
125J00000X
License No.
18-TDT-02 (Washington)
Definition
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
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