Provider Demographics
NPI:1114256484
Name:JASON GEE DDS INC.
Entity Type:Organization
Organization Name:JASON GEE DDS INC.
Other - Org Name:JASON M GEE DDS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:MA
Authorized Official - Last Name:GEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-399-8707
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:626-254-1864
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-16
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA506011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1528274412OtherNPI - INDIVITUAL PROVIDER