Jason Champagne II Pllc

NPI #1538835871 in Reno, Nevada

Provider Information

NPI Number: 1538835871
Entity Type: Organization
Organization Name: Jason Champagne II Pllc
Primary Specialty: Dentist
Enumeration Date: Aug 17, 2021
Last Updated: Oct 15, 2021

Practice Location

Address: 601 W MOANA LN STE 6
City: Reno
State: Nevada
ZIP Code: 89509-4959
Phone: (775) 636-9939

Authorized Official

Name: DR. JASON CHAMPAGNE, DDS
Title: OWNER
Phone: (775) 636-9939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orofacial Pain — Orofacial Pain	1223X2210X
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Dentist	122300000X	Primary

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