JAMSTAN P C NPI 1699916502

NPI Information

  • NPI: 1699916502
  • Provider Name: JAMSTAN P C
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: PRESLEY ORTHODONTICS FAMILY & COSMETIC DENTISTRY
  • Address: 204 FORT UNION BLVD STE 102
    MIDVALE, UT
    ZIP 84047
  • Phone: (801) 561-9999

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NPI Details

JAMSTAN P C is a general practice dentist in Midvale, UT. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JAMSTAN P C NPI is 1699916502. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Presley Orthodontics Family & Cosmetic Dentistry.

The provider's business location address is:

204 FORT UNION BLVD STE 102
MIDVALE, UT
ZIP 84047-645
Phone: (801) 561-9999
Fax: (801) 561-9979

The provider's authorized official is Lindsey R Godwin .
The authorized official title is Practice Administrator and has the following contact phone number (801) 561-9999.

The enumeration date for this NPI number is 3/23/2009 and was last updated on 3/23/2009.

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
11223G0001XDentistGeneral Practice343288-9922UTAHNo
21223G0001XDentistGeneral Practice343288-8903UTAHNo
31223G0001XDentistGeneral Practice366356-8903UTAHNo
41223G0001XDentistGeneral Practice3663569921UTAHYes

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: 11/21/2025

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