Provider Demographics
NPI:1568573954
Name:GEORGE C JARED D D S INC
Entity Type:Organization
Organization Name:GEORGE C JARED D D S INC
Other - Org Name:BAST COUNTY FAMILY DENTAL CTR.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:C
Authorized Official - Last Name:JARED
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-390-3669
Mailing Address - Street 1:13465 CAMINO CANADA
Mailing Address - Street 2:STE 110-A
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-8813
Mailing Address - Country:US
Mailing Address - Phone:619-390-3669
Mailing Address - Fax:619-390-3328
Practice Address - Street 1:13465 CAMINO CANADA
Practice Address - Street 2:STE 110-A
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-8813
Practice Address - Country:US
Practice Address - Phone:619-390-3669
Practice Address - Fax:619-390-3328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty