Individual provider · Type 1 NPI

Jason M. Mailhot, DMD

Periodontics · Wauwatosa, WI

NPI number 1851346613 Active

Practice location

2600 N Mayfair Rd, Suite #340
Wauwatosa, WI 53226-1309

Call (414) 259-0660 Map

Fax (414) 259-0819

Mailing address

4857 White Swan Dr
West Bend, WI 53095-9192

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X6063-015 (WI)
Periodontics 1223P0300XDN012270 (GA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1851346613

Jason M. Mailhot, DMD's National Provider Identifier is 1851346613, issued on May 23, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Wauwatosa, WI. The record was last updated on Jul 9, 2007.