Uuhc South Jordan Health Center - Ent-dental | |
5126 W Daybreak Pkwy South Jordan UT 84095-5994 | |
(801) 213-4500 | |
Not Available |
Full Name | Uuhc South Jordan Health Center - Ent-dental |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 5126 W Daybreak Pkwy, South Jordan, Utah |
Authorized Official Name and Position | Sean Mulvihill (CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 8015876336 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Uuhc South Jordan Health Center - Ent-dental Po Box 413033 Salt Lake City UT 84141-3033 Ph: (801) 213-3900 | Uuhc South Jordan Health Center - Ent-dental 5126 W Daybreak Pkwy South Jordan UT 84095-5994 Ph: (801) 213-4500 |
NPI Number | 1952794851 |
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Provider Enumeration Date | 03/17/2015 |
Last Update Date | 03/17/2015 |
Identifier | Type | State | Issuer |
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1952794851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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