DR. Jason Anthony Etherton, D.M.D.

NPI #1306912621 in Valley, Alabama

Provider Information

NPI Number: 1306912621
Entity Type: Individual
Name: DR. Jason Anthony Etherton, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Nov 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6 MEDICAL PARK
City: Valley
State: Alabama
ZIP Code: 36854-3665
Phone: (334) 756-4178

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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