Provider Demographics
NPI:1356421531
Name:CLAPP, JASON (DDS, PA)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:CLAPP
Suffix:
Gender:M
Credentials:DDS, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 VILLAGE PKWY STE C
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-3322
Mailing Address - Country:US
Mailing Address - Phone:972-317-6997
Mailing Address - Fax:972-317-6911
Practice Address - Street 1:2300 VILLAGE PKWY
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-3322
Practice Address - Country:US
Practice Address - Phone:972-317-6997
Practice Address - Fax:972-317-6911
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX199501223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX091284203Medicaid
TX091284203Medicaid