Provider Demographics
NPI:1134654106
Name:KAUFER, JAMIE ASHA (DMD, MPH, MS)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:ASHA
Last Name:KAUFER
Suffix:
Gender:F
Credentials:DMD, MPH, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11521 PARKWAY DR
Mailing Address - Street 2:
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-2053
Mailing Address - Country:US
Mailing Address - Phone:724-590-0173
Mailing Address - Fax:
Practice Address - Street 1:11521 PARKWAY DR
Practice Address - Street 2:
Practice Address - City:NORTH HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642-2053
Practice Address - Country:US
Practice Address - Phone:724-590-0173
Practice Address - Fax:724-590-0153
Is Sole Proprietor?:No
Enumeration Date:2017-04-26
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
IL0190315431223G0001X
PADS0421111223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No1223G0001XDental ProvidersDentistGeneral Practice