Provider Demographics
NPI:1578850152
Name:SCORZA, JASON A (DDS)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:A
Last Name:SCORZA
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 1:5800 STANFORD RANCH RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-4385
Mailing Address - Country:US
Mailing Address - Phone:916-435-4222
Mailing Address - Fax:916-435-4777
Practice Address - Street 1:5800 STANFORD RANCH RD
Practice Address - Street 2:SUITE 110
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765-4385
Practice Address - Country:US
Practice Address - Phone:916-435-4222
Practice Address - Fax:916-435-4777
Is Sole Proprietor?:No
Enumeration Date:2011-07-05
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47793122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist