| Jon Chisholm Dentistry | |
|
10 S 300 W Santaquin UT 84655-8147 | |
| (801) 754-0678 | |
| (801) 754-1157 |
| Full Name | Jon Chisholm Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10 S 300 W, Santaquin, Utah |
| Authorized Official Name and Position | Jon Chisholm (OWNER) |
| Authorized Official Contact | 8017540678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Chisholm Dentistry 10 S 300 W Santaquin UT 84655-8147 Ph: (801) 754-0678 | Jon Chisholm Dentistry 10 S 300 W Santaquin UT 84655-8147 Ph: (801) 754-0678 |
| NPI Number | 1548575954 |
|---|---|
| Provider Enumeration Date | 08/10/2010 |
| Last Update Date | 08/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548575954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 97-341982-9921 (Utah) | Primary |
Huntington Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 E Main St Ste 5, Santaquin, UT 84655 Phone: 801-754-3100 |