Provider Demographics
NPI:1497870273
Name:ALLIGER, JASON DAVID (DDS)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:DAVID
Last Name:ALLIGER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1389 WEST MAIN STREET
Mailing Address - Street 2:SUITE 208
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06708
Mailing Address - Country:US
Mailing Address - Phone:203-757-1287
Mailing Address - Fax:203-575-1537
Practice Address - Street 1:1389 WEST MAIN STREET
Practice Address - Street 2:SUITE 208
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708
Practice Address - Country:US
Practice Address - Phone:203-757-1287
Practice Address - Fax:203-575-1537
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0091361223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics