Provider Demographics
NPI:1881871945
Name:PASLEY, JON ERIC (DMD)
Entity type:Individual
Prefix:DR
First Name:JON
Middle Name:ERIC
Last Name:PASLEY
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 1:3095 HIGHWAY 14
Mailing Address - Street 2:
Mailing Address - City:MILLBROOK
Mailing Address - State:AL
Mailing Address - Zip Code:36054-2419
Mailing Address - Country:US
Mailing Address - Phone:334-285-0300
Mailing Address - Fax:334-285-0787
Practice Address - Street 1:3095 HIGHWAY 14
Practice Address - Street 2:
Practice Address - City:MILLBROOK
Practice Address - State:AL
Practice Address - Zip Code:36054-2419
Practice Address - Country:US
Practice Address - Phone:334-285-0300
Practice Address - Fax:334-285-0787
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL49531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice