| Jeremy B Mahoney Dmd Llc | |
|
8846 S Redwood Rd Ste N201 West Jordan UT 84088-4702 | |
| (801) 566-0631 | |
| (801) 566-4826 |
| Full Name | Jeremy B Mahoney Dmd Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8846 S Redwood Rd Ste N201, West Jordan, Utah |
| Authorized Official Name and Position | April N Petersen (PRACTICE MANAGER) |
| Authorized Official Contact | 8015660631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy B Mahoney Dmd Llc 8846 S Redwood Rd Ste N201 West Jordan UT 84088-4702 Ph: (801) 566-0631 | Jeremy B Mahoney Dmd Llc 8846 S Redwood Rd Ste N201 West Jordan UT 84088-4702 Ph: (801) 566-0631 |
| NPI Number | 1770152985 |
|---|---|
| Provider Enumeration Date | 06/22/2021 |
| Last Update Date | 06/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770152985 | NPI | - | NPPES |
| 1154705960 | Other | INSURANCE CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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