Provider Demographics
NPI:1487663985
Name:HESS, JASON G (DDS)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:G
Last Name:HESS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1448N 2000W
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CLINTON
Mailing Address - State:UT
Mailing Address - Zip Code:84015
Mailing Address - Country:US
Mailing Address - Phone:801-774-5200
Mailing Address - Fax:801-774-9030
Practice Address - Street 1:1448N 2000W
Practice Address - Street 2:SUITE 1
Practice Address - City:CLINTON
Practice Address - State:UT
Practice Address - Zip Code:84015
Practice Address - Country:US
Practice Address - Phone:801-774-5200
Practice Address - Fax:801-774-9030
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4929489122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist