| Dr Jon Ralph Chisholm, DDS | |
|
10 S 300 W, Santaquin, UT 84655-8147 | |
| (801) 754-0678 | |
| (801) 754-1157 |
| Full Name | Dr Jon Ralph Chisholm |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 10 S 300 W, Santaquin, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811065683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 973419729921 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jon Ralph Chisholm, DDS 10 S 300 W, P.o Box 266, Santaquin, UT 84655-8147 Ph: (801) 754-0678 | Dr Jon Ralph Chisholm, DDS 10 S 300 W, Santaquin, UT 84655-8147 Ph: (801) 754-0678 |
Dr. Joshua Richard Chisholm, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 10 S 300 W, Santaquin, UT 84655 Phone: -- | |
John Collin Demille, Dentist Medicare: Not Enrolled in Medicare Practice Location: 451 E Main St, Santaquin, UT 84655 Phone: 801-658-0221 | |
Dr. Gavin Huntington, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 340 E Main St, Suite 5, Santaquin, UT 84655 Phone: 435-749-0610 |