Provider Demographics
NPI:1528274412
Name:GEE, JASON MA (DDS)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:MA
Last Name:GEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:JASON
Other - Middle Name:
Other - Last Name:GEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS DDS
Mailing Address - Street 1:638 W DUARTE RD STE 9
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-9203
Mailing Address - Country:US
Mailing Address - Phone:626-447-7877
Mailing Address - Fax:
Practice Address - Street 1:638 W DUARTE RD STE 9
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-9203
Practice Address - Country:US
Practice Address - Phone:626-447-7877
Practice Address - Fax:626-254-1864
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA506011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice