SearchFlorida1223X0400X

Jason Ouellette, D.D.S

NPI 1891027181 · on the registry since 2010

Practice

Address
455 Magnolia Ave Ste B
Merritt Island, FL 32952
Phone
(180) 076-7645
Organisation at this address
Brilliant Smiles Orthodontics
Dental Specialists Of Central Florida
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1223X0400X
1223X0400X
Also registered as
122300000X
122300000X
Licence states on file
FL, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-09-27

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 Florida