person
Dr. Daniel Jason Dejarlais, DDS
Pediatric Dentist in Madison, Wisconsin
NPI 1669573895

Daniel Jason Dejarlais is a Pediatric Dentist based in Madison, WI and is specialized in Pediatric Dentistry. Daniel Jason Dejarlais practices in Madison, WI and has the professional credentials of DDS. The NPI Number for Daniel Jason Dejarlais is 1669573895 and holds a License No. 5036-15 (Wisconsin).

The current practice location address for Daniel Jason Dejarlais is 7001 Old Sauk Rd, Madison, WI and can be reached out via phone at 608-833-6545 and via fax at 608-833-8516. You can also correspond with Daniel Jason Dejarlais through the mailing address at 7001 OLD SAUK RD, MADISON, WI - 53717-2308 (mailing address contact number: 608-833-6545).

Location: 7001 Old Sauk Rd, Madison, WI, 53717-2308
person
Provider Profile Details
NPI Number
1669573895
Provider Name
Daniel Jason Dejarlais
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
7001 Old Sauk Rd, Madison, WI, 53717-2308
Phone Number
608-833-6545
Fax Number
608-833-8516
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33755100 05 WI
institution
Provider Business Practice Location Address Details
Address
7001 Old Sauk Rd
City
State
Zip
53717-2308
Phone Number
608-833-6545
Fax Number
608-833-8516
person
Provider Business Mailing Address Details
Address
7001 Old Sauk Rd
City
State
Zip
53717-2308
Phone Number
608-833-6545
Fax Number
608-833-8516
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
5036-15 (Wisconsin)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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