| South Jordan Dental | |
|
1268 W South Jordan Pkwy Suite 302 South Jordan UT 84095-4652 | |
| (801) 253-3900 | |
| (801) 253-3342 |
| Full Name | South Jordan Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1268 W South Jordan Pkwy, South Jordan, Utah |
| Authorized Official Name and Position | Marcus H Webb (OWNER/BUSINESS DIRECTOR) |
| Authorized Official Contact | 8019155947 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Jordan Dental 1268 W South Jordan Pkwy Suite 302 South Jordan UT 84095-4652 Ph: (801) 253-3900 | South Jordan Dental 1268 W South Jordan Pkwy Suite 302 South Jordan UT 84095-4652 Ph: (801) 253-3900 |
| NPI Number | 1093138448 |
|---|---|
| Provider Enumeration Date | 01/21/2014 |
| Last Update Date | 01/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093138448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 139125 (Utah) | Primary |
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