Organization · Type 2 NPI

Jason K Potter MD DDS PA

Specialist · Dallas, TX

NPI number 1164608709 Active

Practice location

8220 Walnut Hill Ln, Suite 206
Dallas, TX 75231-4427

Call (214) 930-6588 Map

Mailing address

PO Box 93982
Southlake, TX 76092-0119

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XM6345 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1164608709

Jason K Potter MD DDS PA's National Provider Identifier is 1164608709, issued on Jan 14, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dallas, TX. The record was last updated on Oct 22, 2008.