Provider Demographics
NPI:1548285935
Name:KAPLAN, JASON R. ROBERT (DDS, MS)
Entity type:Individual
Prefix:
First Name:JASON R.
Middle Name:ROBERT
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4700 CHAMBLEE DUNWOODY ROAD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-6054
Mailing Address - Country:US
Mailing Address - Phone:770-458-5561
Mailing Address - Fax:770-457-4523
Practice Address - Street 1:4700 CHAMBLEE DUNWOODY RD
Practice Address - Street 2:SUITE 300
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-6054
Practice Address - Country:US
Practice Address - Phone:770-458-5561
Practice Address - Fax:770-457-4523
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GADN0125051223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics