Individual provider · Type 1 NPI

Jason Patrick Ouellette, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Merritt Island, FL

NPI number 1891027181 Active

Practice location

455 Magnolia Ave Ste B
Merritt Island, FL 32952-4838

Mailing address

1254 Garrison Dr
St. Augustine, FL 32092-1075

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDN19187 (FL)
Dentist 122300000XDN014030 (GA)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDN 19187 (FL)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1891027181

Jason Patrick Ouellette, DDS's National Provider Identifier is 1891027181, issued on Feb 11, 2010. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Merritt Island, FL. The record was last updated on Sep 27, 2013.