Individual provider · Type 1 NPI

Jason K. Potter, MD, DDS

Specialist · Dallas, TX

NPI number 1467449207 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
Oral & Maxillofacial Surgery (D.M.D.) 204E00000XMD25735 (OR)
Specialist Primary 174400000XM6345 (TX)
Oral and Maxillofacial Surgery (Dentist) 1223S0112XM6345 (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 1467449207

Jason K. Potter, MD, DDS's National Provider Identifier is 1467449207, issued on Oct 5, 2005. 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.