Provider Demographics
NPI:1346337235
Name:FLEISCHMANN, JASON HOWARD (DMD, MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:HOWARD
Last Name:FLEISCHMANN
Suffix:
Gender:M
Credentials:DMD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 MEDICAL PARK DR
Mailing Address - Street 2:UNIT 1
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-8048
Mailing Address - Country:US
Mailing Address - Phone:406-443-3334
Mailing Address - Fax:
Practice Address - Street 1:65 MEDICAL PARK DR
Practice Address - Street 2:UNIT 1
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-8048
Practice Address - Country:US
Practice Address - Phone:406-443-3334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA83851223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery