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Contact Information

JASON FOREMAN, DDS
2916 CROSSING CT
SUITE #C
CHAMPAIGN, IL61822-6199
 Phone: 217-352-5809
 Fax: 217-352-5812
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JASON FOREMAN · (Male)

NPI # 1124432638
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/12/2014
Last updated 08/25/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 019029690
  • IL License # 021002580
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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