Provider Demographics
NPI:1497852362
Name:HSAIO, JASON Y (DDS)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:Y
Last Name:HSAIO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 NATALIE DRIVE
Mailing Address - Street 2:
Mailing Address - City:MORAGA
Mailing Address - State:CA
Mailing Address - Zip Code:94556
Mailing Address - Country:US
Mailing Address - Phone:916-878-6016
Mailing Address - Fax:
Practice Address - Street 1:60 FENTON STREET
Practice Address - Street 2:SUITE 9
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550
Practice Address - Country:US
Practice Address - Phone:916-878-6016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA537991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice