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NPI Profile for Dr JASON K POTTER in DALLAS, TX.
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) |
| NPI # | 1467449207 |
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| Status | Active | |
| Credentials | M.D., D.D.S. | |
| Entity | Individual | |
| Enumeration date | 10/05/2005 | |
| Last updated | 10/22/2008 - About 18 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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JASON K POTTER
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JASON K POTTER, M.D., D.D.S.