MEDICARE: JASON ANTONIO DENTAL CORPORATION

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

General Provider Information

NPI Number	:	1598425399
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JASON ANTONIO DENTAL CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 920050
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75392-0050
Country	:	US
Telephone Number	:	951-370-1529
Fax Number	:	951-384-2503

Provider Business Practice Location Address
First Line	:	28080 CLINTON KEITH RD STE 100
Second Line	:
City	:	MURRIETA
State	:	CA
Zip	:	92563-4553
Country	:	US
Telephone Number	:	951-370-1529
Fax Number	:	951-384-2503

Authorized Official
Title or Position	:	OWNER
Name	:	JASON C. ANTONIO I
Credential	:	DDS
Telephone Number	:	951-370-1529

Provider Enumeration Date	:	12/21/2021
Last Update Date	:	12/21/2021

Similar Medicare Providers

1558051524 — MARIAM ALSAADI DMD
Practice Location Address:

28080 CLINTON KEITH RD STE 100
MURRIETA, CA
92563-4553

Practice Phone: 951-370-1529
Practice Fax:

1730871278 — DR. JILLIAN PRICE DDS
Practice Location Address:

28080 CLINTON KEITH RD STE 100
MURRIETA, CA
92563-4553

Practice Phone: 951-370-1529
Practice Fax:

1326935420 — DR. CHARLENE THUY - NHUNG NGUYEN DMD
Practice Location Address:

28080 CLINTON KEITH RD STE 100
MURRIETA, CA
92563-4553

Practice Phone: 951-370-1529
Practice Fax:

1801028204 — DR. SERENA ENKE
Practice Location Address:

39755 MURRIETA HOT SPRINGS RD STE D160
MURRIETA, CA
92563-9113

Practice Phone: 951-534-3222
Practice Fax:

1710829189 — LISA TUNDE LAZAR
Practice Location Address:

28062 BAXTER RD
MURRIETA, CA
92563-1401

Practice Phone: 951-290-4190
Practice Fax:

1942056965 — ZAHUR-SALEH SUBEDAR
Practice Location Address:

28062 BAXTER RD
MURRIETA, CA
92563-1401

Practice Phone: 951-290-4402
Practice Fax:

Directions to “JASON ANTONIO DENTAL CORPORATION ” 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 © 2007-2026 (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.