Healthcare Provider Details
I. General information
NPI: 1154495406
Provider Name (Legal Business Name): J ERIC DOLLINGER DDS PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/20/2006
Last Update Date: 06/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
417 BILTMORE AVE SUITE 3E
ASHERVILLE NC
28801
US
IV. Provider business mailing address
417 BILTMORE AVE SUITE 3E
ASHERVILLE NC
28801
US
V. Phone/Fax
- Phone: 828-251-1399
- Fax: 828-251-1305
- Phone: 828-251-1399
- Fax: 828-251-1305
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | NC7600 |
| License Number State | NC |
VIII. Authorized Official
Name: DR.
JASON
ERIC
DOLLINGER
Title or Position: PRESIDENT OWNER
Credential: DDS
Phone: 828-251-1399