Provider Demographics
NPI:1164510111
Name:HEHR, R. JASON J (DMD)
Entity type:Individual
Prefix:DR
First Name:R. JASON
Middle Name:J
Last Name:HEHR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9221 UNIVERSITY BLVD
Mailing Address - Street 2:BUILDING D SUITE 1A
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9148
Mailing Address - Country:US
Mailing Address - Phone:843-569-0904
Mailing Address - Fax:843-569-0961
Practice Address - Street 1:9221 UNIVERSITY BLVD
Practice Address - Street 2:BUILDING D SUITE 1A
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9148
Practice Address - Country:US
Practice Address - Phone:843-569-0904
Practice Address - Fax:843-569-0961
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC40301223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery