MEDICARE: JONATHAN DAVID CASO DMD

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	DS038080	PA
2	1223G0001X	General Practice Dentistry	DS038080	PA

General Provider Information

NPI Number	:	1699058305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN DAVID CASO DMD

Provider Business Mailing Address
First Line	:	9275 DOERR RD STE 1400
Second Line	:	NORTHERN REGIONAL DENTAL COMMAND
City	:	FORT BELVOIR
State	:	VA
Zip	:	22060-2204
Country	:	US
Telephone Number	:	571-231-5374
Fax Number	:

Provider Business Practice Location Address
First Line	:	9275 DOERR RD STE 1400
Second Line	:	NORTHERN REGIONAL DENTAL COMMAND
City	:	FORT BELVOIR
State	:	VA
Zip	:	22060-2204
Country	:	US
Telephone Number	:	571-231-5374
Fax Number	:

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

Provider Enumeration Date	:	09/20/2011
Last Update Date	:	01/08/2014

Similar Medicare Providers

1497749865 — DR. MARGARET E. P. FISHER D.M.D.
Practice Location Address:

9225 DOERR RD BLDG 1220
FORT BELVOIR, VA
22060-2204

Practice Phone: 571-231-6005
Practice Fax:

1003895939 — DR. CHRISTOPHER LEIF ROWE DDS
Practice Location Address:

9225 DOERR RD BLDG 1220
FORT BELVOIR, VA
22060-2204

Practice Phone: 571-231-6004
Practice Fax:

1336119395 — DR. ERIC NMI DANKO DMD
Practice Location Address:

LOGAN DENTAL CLINIC , 9225 DOERR RD
FORT BELVOIR, VA
22060-2204

Practice Phone: 36-813-0347
Practice Fax:

1639274855 — DR. CONSTANCE LEE SEDON DMD
Practice Location Address:

9225 DOERR RD
FORT BELVOIR, VA
22060-2204

Practice Phone: 571-231-6004
Practice Fax:

1386923464 — DR. CHRISTOPHER JAMES LUEVANO D.D.S.
Practice Location Address:

9225 DOERR RD
FORT BELVOIR, VA
22060-2204

Practice Phone: 571-231-6004
Practice Fax:

1124387667 — DR. CARLESHA JANEE CHAMBERS DDS
Practice Location Address:

9275 DOERR RD STE 1400 , HQ, NORTHERN REGIONAL DENTAL COMMAND (ATTN CREDENTIALS)
FORT BELVOIR, VA
22060-2204

Practice Phone: 571-231-5383
Practice Fax:

Directions to “ JONATHAN DAVID CASO DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.