Provider Demographics
NPI:1649358078
Name:SPERATI, JASON D (DDS MS)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:D
Last Name:SPERATI
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Gender:M
Credentials:DDS MS
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Mailing Address - Street 1:1340 MATTHEWS TOWNSHIP PKWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105
Mailing Address - Country:US
Mailing Address - Phone:704-847-4717
Mailing Address - Fax:704-845-8439
Practice Address - Street 1:1340 MATTHEWS TOWNSHIP PKWY
Practice Address - Street 2:SUITE 201
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105
Practice Address - Country:US
Practice Address - Phone:704-847-4717
Practice Address - Fax:704-845-8439
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2018-12-07
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Provider Licenses
StateLicense IDTaxonomies
NC71801223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry