Dr. Jasun Mahaffey, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Worcester, Massachusetts
1578899829- Practice location
- 388 Park Ave, Worcester, MA 01610-1025
- Phone
- 508-798-6565
- Fax
- 508-798-6687
- Last updated
- February 5, 2014
Jasun Mahaffey is a Dentist, Orthodontics and Dentofacial Orthopedics based in Worcester, MA. Jasun Mahaffey practices in Worcester, MA and has the professional credentials of DMD. The NPI Number for Jasun Mahaffey is 1578899829 and holds a License No. DL10614 (MA). The current practice location address for Jasun Mahaffey is 388 Park Ave, Worcester, MA 01610-1025 and can be reached out via phone at 508-798-6565 and via fax at 508-798-6687.
Provider Profile Details
- NPI Number
- 1578899829
- Provider Name
- Jasun Mahaffey
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 388 Park Ave, Worcester, MA 01610-1025
- Phone Number
- 508-798-6565
- Fax Number
- 508-798-6687
- Primary Taxonomy
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 21, 2009
- Last Update Date
- February 5, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 388 Park Ave
Worcester, MA 01610-1025 - City
- Worcester
- State
- Massachusetts
- Zip
- 01610-1025
- Phone Number
- 508-798-6565
- Fax Number
- 508-798-6687
Provider Business Mailing Address Details
- Address
- 16 Arcade Unit 198747
Nashville, TN 37219-1994 - City
- Nashville
- State
- TN
- Zip
- 37219-1994
- Phone Number
- 615-750-0343
- Fax Number
- 615-986-1705
License Information
- License Number (1)
- DL10614
- License State (1)
- MA
- Taxonomy (1)
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- License Number (2)
- DN1855938
- License State (2)
- MA
- Taxonomy (2)
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · 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 Dr. Jasun Mahaffey, DMD?
The NPI number of Dr. Jasun Mahaffey, DMD is 1578899829. It was assigned on October 21, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Jasun Mahaffey, DMD?
Dr. Jasun Mahaffey, DMD is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in MA under license number DL10614.
Where does Dr. Jasun Mahaffey, DMD practice?
The practice location is 388 Park Ave, Worcester, MA 01610-1025. The office can be reached at 508-798-6565 (phone) or 508-798-6687 (fax).
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 1578899829 directly on the NPPES registry website.