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DR. JASON ISAAC MARGOLIS DMD NPI 1437315702


NPI Information

NPI: 1437315702
Provider Name: DR. JASON ISAAC MARGOLIS, DMD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
621 SOUTH NEW BALLAS ROAD
SUITE 16 A
ST. LOUIS, MO
ZIP 63141
Phone: (314) 251-6725
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DR. Jason Isaac Margolis, DMD is an oral and maxillofacial surgery dentist in St. Louis, MO with 17 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Jason Isaac Margolis, DMD NPI is 1437315702. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OREGON HEALTH & SCIENCES UNIV SCHOOL OF DENTISTRY
Graduation Year:2007

The provider's business location address is:

621 SOUTH NEW BALLAS ROAD
SUITE 16 A
ST. LOUIS, MO
ZIP 63141
Phone: (314) 251-6725
Fax: (314) 251-6726

The NPI 1437315702 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/5/2008 and was last updated on 7/24/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery2011037753MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.