SearchCaliforniaGeneral Practice Dentistry

Jason Acevedo, DDS

NPI 1326127663 · on the registry since 2006

Practice

Address
3461 Lake Tahoe Blvd
#1
South Lake Tahoe, CA 96150
Phone
(530) 544-1050
Fax
(530) 544-1709
Organisation at this address
Nicole H. Buell, D.D.S. Inc.
T. Rutner Dds Dental Corporation
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08
Status
Not present in the most recent federal file

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 California