DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JASON M MAILHOT, DMD

Active

DR. JASON M MAILHOT, DMD is a Periodontology healthcare provider located in WAUWATOSA, Wisconsin. NPI 1851346613 is currently active in the NPPES registry. Verify at CMS.

Periodontology · WAUWATOSA, WI

Registration Details

NPI Number
1851346613
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2006 (20.190400047112 yrs)
Last Updated
Jul 9, 2007
Licenses
6063-015 (WI)
DN012270 (GA)

Practice Information

Address
2600 N MAYFAIR RD
SUITE #340
WAUWATOSA, WI, 532261309
Browse WI providers · Browse ZIP 53226
Phone
4142590660
Fax
4142590819
Primary Specialty
Periodontology
1223P0300X
Additional Specialty
Periodontology

Other Periodontology Providers in WAUWATOSA, WI

Name Credential NPI
DR. THOMAS G. SHAW DDS 1396865671
DR. NANCY ELLEN SHUMATE DDS 1629280987
DR. CRAIG WILLIAM BYERS DDS 1285937557
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.