Jason Anthony Etherton, D.M.D.

General Practice Dentistry · Valley, AL

Individual Active NPI

NPI number 1306912621

Practice location

6 Medical Park
Valley, AL 36854-3665
Phone
(334) 756-4178
Fax
(334) 756-5884

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NPI record

NPI
1306912621
Entity type
Individual (Type 1)
Enumeration date
November 28, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 4840 AL

About Dr. Etherton

Jason Anthony Etherton, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 6 Medical Park, Valley, AL 36854-3665. The NPI number 1306912621 was assigned on November 28, 2006 and the record was last updated on July 8, 2007.

Dr. Etherton lists a license in the registry: #4840 (AL) 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 Jason Anthony Etherton, D.M.D.?

The NPI number is 1306912621.

What is the phone number of Dr. Etherton?

The phone number listed for the practice location is (334) 756-4178.

Where is Dr. Etherton located?

6 Medical Park, Valley, AL 36854-3665.

What is the taxonomy code for Dr. Etherton?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

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