IndividualActive
Jason Hartup, DMD
NPI 1780856849 · Dentist · Dededo, GU
Provider details
- NPI number
- 1780856849
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 56525 (CA)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Practice location
505 Harmon Loop Rd
Suite 300
Dededo, GU 96929-6519
Phone: (671) 482-2936
Mailing address
505 Harmon Loop Rd
Dededo, GU 96929-6519
Registry dates
- Enumerated
- 2008-03-29
- Last updated
- 2013-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.