DR. Jason G Boutwell, DMD
NPI #1144224478 in Douglasville, Georgia
Provider Information
- NPI Number
- 1144224478
- Entity Type
- Individual
- Name
- DR. Jason G Boutwell, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jun 1, 2005
- Last Updated
- Sep 3, 2015
Practice Location
- Address
- 3009 CHAPEL HILL RD
- Address 2
- SUITE A
- City
- Douglasville
- State
- Georgia
- ZIP Code
- 30135-1748
- Phone
- (770) 942-8288
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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