Provider Demographics
NPI:1730304734
Name:SCHEPIS, JASON F (DMD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:F
Last Name:SCHEPIS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:50 ESSEX ST STE A
Mailing Address - Street 2:
Mailing Address - City:ROCHELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07662-4341
Mailing Address - Country:US
Mailing Address - Phone:201-343-8888
Mailing Address - Fax:201-845-4341
Practice Address - Street 1:50 ESSEX ST STE A
Practice Address - Street 2:
Practice Address - City:ROCHELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07662-4341
Practice Address - Country:US
Practice Address - Phone:201-343-8888
Practice Address - Fax:201-845-4341
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI023193001223S0112X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery