Provider Demographics
NPI:1730275306
Name:TURNER, JASON EDWARD (DMD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:EDWARD
Last Name:TURNER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:126 ENTERPRISE PATH
Mailing Address - Street 2:SUITE 106
Mailing Address - City:HIRAM
Mailing Address - State:GA
Mailing Address - Zip Code:30141
Mailing Address - Country:US
Mailing Address - Phone:770-439-9119
Mailing Address - Fax:770-439-9194
Practice Address - Street 1:126 ENTERPRISE PATH
Practice Address - Street 2:SUITE 106
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141
Practice Address - Country:US
Practice Address - Phone:770-439-9119
Practice Address - Fax:770-439-9194
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0123851223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry