Jared Scot Homan, DDS
General Practice Dentistry · Waupun, WI
Practice location
733 W. Main St.Waupun, WI 53963-1757
- Phone
- (920) 324-4218
- Fax
- (920) 345-1228
NPI record
- NPI
- 1053321067
- Entity type
- Individual (Type 1)
- Enumeration date
- August 9, 2006
- Last updated
- April 2, 2012
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
6030-015 | WI |
| General Practice Dentistry | 1223G0001X |
6030 | WI |
About Dr. Homan
Jared Scot Homan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 733 W. Main St., Waupun, WI 53963-1757. The NPI number 1053321067 was assigned on August 9, 2006 and the record was last updated on April 2, 2012.
Dr. Homan lists 2 licenses in the registry: #6030-015 (WI) for General Practice Dentistry; #6030 (WI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jared Scot Homan, DDS?
The NPI number is 1053321067.
What is the phone number of Dr. Homan?
The phone number listed for the practice location is (920) 324-4218.
Where is Dr. Homan located?
733 W. Main St., Waupun, WI 53963-1757.
What is the taxonomy code for Dr. Homan?
The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other General Practice Dentistry providers in Waupun
- Thomas Katz, DDS608 Fern St