Active NPIIndividual providerSole proprietor

Dr. Jason P Ganong, DMD

Dentist, General Practice in Apo Ae, New York

NPI Number1972580249
Practice location
Unit 26610, Wuerzburg Dental Activity Credentials Office, Apo Ae, NY 09244
Fax
931-804-2524
Last updated
July 8, 2007

Jason P. Ganong is a Dentist, General Practice based in Apo Ae, NY. Jason P. Ganong practices in Apo Ae, NY and has the professional credentials of DMD. The NPI Number for Jason P. Ganong is 1972580249 and holds a License No. DS036238 (PA). The current practice location address for Jason P. Ganong is Unit 26610, Wuerzburg Dental Activity Credentials Office, Apo Ae, NY 09244 and can be reached out via phone at 931-804-3933 and via fax at 931-804-2524.

Provider Profile Details

NPI Number
1972580249
Provider Name
Jason P. Ganong
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
Unit 26610, Wuerzburg Dental Activity Credentials Office, Apo Ae, NY 09244
Phone Number
931-804-3933
Fax Number
931-804-2524
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
December 28, 2005
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
Unit 26610
Wuerzburg Dental Activity Credentials Office
Apo Ae, NY 09244
City
Apo Ae
Zip
09244
Phone Number
931-804-3933
Fax Number
931-804-2524
Apo Ae, NY 09244Get directions →

Provider Business Mailing Address Details

Address
Unit 26610
Wuerzburg Dental Activity Credentials Office
Apo Ae, NY 09244
City
Apo Ae
State
NY
Zip
09244
Phone Number
931-804-3933
Fax Number
931-804-2524

License Information

License Number
DS036238
License State
PA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Jason P Ganong, DMD?

The NPI number of Dr. Jason P Ganong, DMD is 1972580249. It was assigned on December 28, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Jason P Ganong, DMD?

Dr. Jason P Ganong, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in PA under license number DS036238.

Where does Dr. Jason P Ganong, DMD practice?

The practice location is Unit 26610, Wuerzburg Dental Activity Credentials Office, Apo Ae, NY 09244. The office can be reached at 931-804-3933 (phone) or 931-804-2524 (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 1972580249 directly on the NPPES registry website.

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