Provider Demographics
NPI:1740322387
Name:TOSTO, JASON P (DMD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:P
Last Name:TOSTO
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 1:519 W BROAD STREET
Mailing Address - Street 2:
Mailing Address - City:QUAKETOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1215
Mailing Address - Country:US
Mailing Address - Phone:215-538-0211
Mailing Address - Fax:215-679-8038
Practice Address - Street 1:519 W BROAD STREET
Practice Address - Street 2:
Practice Address - City:QUAKETOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1215
Practice Address - Country:US
Practice Address - Phone:215-538-0211
Practice Address - Fax:215-679-8038
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS035562122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist