Provider Demographics
NPI:1841236650
Name:LOKER, JASON T (DDS)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:T
Last Name:LOKER
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 1:3041 SENNA DR
Mailing Address - Street 2:STE.A
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-6727
Mailing Address - Country:US
Mailing Address - Phone:704-321-7929
Mailing Address - Fax:704-321-2908
Practice Address - Street 1:3041 SENNA DR
Practice Address - Street 2:STE.A
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-6727
Practice Address - Country:US
Practice Address - Phone:704-321-7929
Practice Address - Fax:704-321-2908
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC70011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice