Doctor Name: | DR. JONATHAN R. SAVAGE |
NPI Number: | 1528299260 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DDS |
License Number: | |
Business Practice Address: | 501 North Bridge Street Visalia, CA - 932915014 |
Business Phone Number: | 5597341939 |
Business Fax Number: | 5597344384 |
Mailing Address: | 305 East Center Ave., VISALIA |
State: | CA |
Postal Code: | 932916331 |
Phone Number: | 5597374700 |
Fax Number: | 5597374782 |
NPI Enumeration Date: | 07/29/2009 |
NPI Last Update Date: | 12/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |