Provider Demographics
NPI:1891016036
Name:BRESSLER, JASON (DDS)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:BRESSLER
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 1:22703 BOTHELL EVERETT HWY
Mailing Address - Street 2:SUITE E
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-8494
Mailing Address - Country:US
Mailing Address - Phone:425-488-1480
Mailing Address - Fax:425-489-9997
Practice Address - Street 1:22703 BOTHELL EVERETT HWY
Practice Address - Street 2:SUITE E
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-8494
Practice Address - Country:US
Practice Address - Phone:425-488-1480
Practice Address - Fax:425-489-9997
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE601699731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice