DR. Jonathan Philip Coudron, D.D.S. is a student in an organized health care education training program in Salt Lake City, UT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Jonathan Philip Coudron, D.D.S. NPI is 1659509966. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
500 FOOTHILL DR
SALT LAKE CITY, UT
ZIP 84148-001
Phone: (801) 584-1206
Fax: (801) 584-5690
The NPI 1659509966 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 6/24/2009 and was last updated on 6/24/2009.