Provider Demographics
NPI:1306993340
Name:FRANSON, JARED A (DMD, PC)
Entity type:Individual
Prefix:DR
First Name:JARED
Middle Name:A
Last Name:FRANSON
Suffix:
Gender:M
Credentials:DMD, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14707 NW 7TH PL
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98685-5762
Mailing Address - Country:US
Mailing Address - Phone:360-573-0975
Mailing Address - Fax:360-253-6437
Practice Address - Street 1:9300 NE VANCOUVER MALL DR STE 100
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-8205
Practice Address - Country:US
Practice Address - Phone:360-253-6375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA9636122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist