Individual provider · Type 1 NPI

Jason Donald Mecum, DHAT

Dental Therapist · Coos Bay, OR

NPI number 1508531666 Active

Practice location

630 Miluk Dr
Coos Bay, OR 97420-7728

Call (541) 888-9494 Map

Mailing address

PO Box 3190
Coos Bay, OR 97420-0407

Specialties and licenses

TaxonomyCodeLicense
Dental Therapist Primary 125J00000X18-TDT-02 (WA)

Dental Therapist: A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therap…

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About NPI 1508531666

Jason Donald Mecum, DHAT's National Provider Identifier is 1508531666, issued on Aug 11, 2021. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Coos Bay, OR. The record was last updated on Aug 11, 2021.