Provider Demographics
NPI:1912369984
Name:SAFER, JASON (DMD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:
Last Name:SAFER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 COHANNET ST
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-3903
Mailing Address - Country:US
Mailing Address - Phone:508-823-0781
Mailing Address - Fax:
Practice Address - Street 1:42 BEACH ST
Practice Address - Street 2:APT 7A
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-2056
Practice Address - Country:US
Practice Address - Phone:781-864-6789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-28
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1857591122300000X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist