| Jordan View Dental | |
|
9103 S 1300 W Ste 104 West Jordan UT 84088-6708 | |
| (801) 255-8030 | |
| Not Available |
| Full Name | Jordan View Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9103 S 1300 W Ste 104, West Jordan, Utah |
| Authorized Official Name and Position | Jeffrey M. Johnson (DENTIST/OWNER) |
| Authorized Official Contact | 8012558030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan View Dental 9103 S 1300 W Ste 104 West Jordan UT 84088-6708 Ph: (801) 255-8030 | Jordan View Dental 9103 S 1300 W Ste 104 West Jordan UT 84088-6708 Ph: (801) 255-8030 |
| NPI Number | 1265038376 |
|---|---|
| Provider Enumeration Date | 12/05/2020 |
| Last Update Date | 12/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265038376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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