Individual provider · Type 1 NPI

Jason R. Bourne, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Marysville, WA

NPI number 1104922194 Active

Practice location

815 State Ave, Suite 3
Marysville, WA 98270-4254

Fax (360) 658-0716

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDE00009603 (WA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1104922194

Jason R. Bourne, DDS, MS's National Provider Identifier is 1104922194, issued on Sep 16, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Marysville, WA. The record was last updated on Jul 8, 2007.