Individual provider · Type 1 NPI

Jason G. Boutwell, DMD

General Practice Dentistry · Douglasville, GA

NPI number 1144224478 Active

About NPI 1144224478

Jason G. Boutwell, DMD's National Provider Identifier is 1144224478, issued on Jun 1, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Douglasville, GA. The record was last updated on Sep 3, 2015.