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Jason Outlaw, DMD, DMSC
NPI 1184144651 · on the registry since 2017
Practice
- Address
- 1575 Blue Hill Ave
Boston, MA 02126 - Phone
- (617) 296-0061
- Organisation at this address
- Mattapan Community Health Center Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Additional practice sites
- 637 Washington St, Dorchester, MA
- 97 Bethany Rd, Framingham, MA
Registry record
- Primary taxonomy
- Dentist
122300000X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-05-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts