Individual provider · Type 1 NPI

Jason Andrew Berglund, DMD

Student in an Organized Health Care Education/Training Program · Houston, TX

NPI number 1861986796 Active

Practice location

7500 Cambridge St Ste 6510
Houston, TX 77054-2032

Fax (713) 486-4333

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112XDS041808 (PA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1861986796

Jason Andrew Berglund, DMD's National Provider Identifier is 1861986796, issued on Jun 14, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Houston, TX. The record was last updated on Jun 9, 2019.