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Contact Information

JARED R COLLETT, DMD, PA-C
BUILDING 110, 1 JUFFAIR AVENUE
NAVAL SUPPORT ACTIVITY BAHRAIN
FPO, AE09834
 Phone:
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JARED R COLLETT · (Male)

NPI # 1427210780
Status Active
Credentials DMD, PA-C
Entity Individual
Enumeration date 06/27/2008
Last updated 09/18/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • AZ License # D011535
  • WA License # PA60034324
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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