Jacob J Foutz Dmd, Llc | |
806 E Jackson St Medford OR 97504-6773 | |
(541) 734-5225 | |
Not Available |
Full Name | Jacob J Foutz Dmd, Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 806 E Jackson St, Medford, Oregon |
Authorized Official Name and Position | Jacob Foutz (DENTIST) |
Authorized Official Contact | 5417345225 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jacob J Foutz Dmd, Llc 806 E Jackson St Medford OR 97504-6773 Ph: (541) 734-5225 | Jacob J Foutz Dmd, Llc 806 E Jackson St Medford OR 97504-6773 Ph: (541) 734-5225 |
NPI Number | 1326537143 |
---|---|
Provider Enumeration Date | 05/07/2018 |
Last Update Date | 05/07/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326537143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | D10292 (Oregon) | Primary |
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