JEPPSON DENTAL NPI 1497850309

NPI Information

NPI: 1497850309
Provider Name: JEPPSON DENTAL
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
86 N UNIVERSITY AVE STE 280
PROVO, UT
ZIP 84601
Phone: (801) 356-7701
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JEPPSON DENTAL is a dental clinic center in Provo, UT. JEPPSON DENTAL NPI is 1497850309. The provider is registered as an organization entity type.

The provider's business location address is:

86 N UNIVERSITY AVE STE 280
PROVO, UT
ZIP 84601-658
Phone: (801) 356-7701

The provider's authorized official is Joe C Jeppson .
The authorized official title is President and has the following contact phone number (801) 356-7701.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 8/11/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	2946929922	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1223G0001X	OTHER	UTAH	GENERAL DENTIST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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