Jason Anton Jaber, DDS

General Practice Dentistry · Petaluma, CA

Individual Active NPI

NPI number 1477079994

Practice location

1179 N McDowell Blvd
Petaluma, CA 94954-6559
Phone
(707) 559-7550

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NPI record

NPI
1477079994
Entity type
Individual (Type 1)
Enumeration date
August 16, 2017
Last updated
December 18, 2019
Certified
December 18, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 101685 CA

Mailing address

4804 Mission St Ste 123
San Francisco, CA 94112-3469
Phone
(415) 625-3419

About Dr. Jaber

Jason Anton Jaber, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1179 N McDowell Blvd, Petaluma, CA 94954-6559. The NPI number 1477079994 was assigned on August 16, 2017 and the record was last updated on December 18, 2019.

Dr. Jaber lists a license in the registry: #101685 (CA) 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 Anton Jaber, DDS?

The NPI number is 1477079994.

What is the phone number of Dr. Jaber?

The phone number listed for the practice location is (707) 559-7550.

Where is Dr. Jaber located?

1179 N McDowell Blvd, Petaluma, CA 94954-6559.

What is the taxonomy code for Dr. Jaber?

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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