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Dr. Jason Pendleton, DDS
Student in an Organized Health Care Education/Training Program in Onalaska, Wisconsin
NPI 1942567466

Jason Pendleton is a Student in an Organized Health Care Education/Training Program based in Onalaska, WI. Jason Pendleton practices in Onalaska, WI and has the professional credentials of DDS. The NPI Number for Jason Pendleton is 1942567466 and holds a License No. 711815 (Wisconsin).

The current practice location address for Jason Pendleton is 1637 Main St, Onalaska, WI and can be reached out via phone at 608-781-3999.

Location: 1637 Main St, Onalaska, WI, 54650-2853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942567466
Provider Name
Jason Pendleton
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1637 Main St, Onalaska, WI, 54650-2853
Phone Number
608-781-3999
Fax Number
Provider Enumeration Date
04/22/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1637 Main St
City
Onalaska
State
Wisconsin
Zip
54650
Phone Number
608-781-3999
Fax Number
person
Provider Business Mailing Address Details
Address
1637 Main St
City
Onalaska
State
Wisconsin
Zip
54650
Phone Number
608-781-3999
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
30353 (Iowa)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
711815 (Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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