MEDICARE: DR. JAMIE J. SASEK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	6897	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144367392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMIE J. SASEK

Provider Business Mailing Address
First Line	:	3220 W INA RD
Second Line	:	APT. #8208
City	:	TUCSON
State	:	AZ
Zip	:	85741-2160
Country	:	US
Telephone Number	:	520-293-0590
Fax Number	:	714-571-3560

Provider Business Practice Location Address
First Line	:	3922 N ORACLE RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-3276
Country	:	US
Telephone Number	:	520-293-0590
Fax Number	:	520-293-0607

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	07/09/2007

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