MEDICARE: DR. JASON T LOKER DDS

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	1223G0001X	General Practice Dentistry	7001	NC

General Provider Information

NPI Number	:	1841236650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON T LOKER DDS

Provider Business Mailing Address
First Line	:	3041 SENNA DR
Second Line	:	STE.A
City	:	MATTHEWS
State	:	NC
Zip	:	28105-6727
Country	:	US
Telephone Number	:	704-321-7929
Fax Number	:	704-321-2908

Provider Business Practice Location Address
First Line	:	3041 SENNA DR
Second Line	:	STE.A
City	:	MATTHEWS
State	:	NC
Zip	:	28105-6727
Country	:	US
Telephone Number	:	704-321-7929
Fax Number	:	704-321-2908

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

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	07/08/2007

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