| Maurice G Jenkins Pllc | |
|
280 River Park Dr Ste 360 Provo UT 84604-5835 | |
| (801) 437-7701 | |
| (801) 356-6326 |
| Full Name | Maurice G Jenkins Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 280 River Park Dr Ste 360, Provo, Utah |
| Authorized Official Name and Position | Maurice Gustaf Jenkins (OWNER) |
| Authorized Official Contact | 8014377701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maurice G Jenkins Pllc 280 River Park Dr Ste 360 Provo UT 84604-5835 Ph: (801) 437-7701 | Maurice G Jenkins Pllc 280 River Park Dr Ste 360 Provo UT 84604-5835 Ph: (801) 437-7701 |
| NPI Number | 1114781689 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 02/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114781689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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