| South Jordan Oral And Facial Surgery | |
|
3632 W South Jordan Pkwy Ste 103 South Jordan UT 84009-7163 | |
| (580) 355-6000 | |
| Not Available |
| Full Name | South Jordan Oral And Facial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3632 W South Jordan Pkwy Ste 103, South Jordan, Utah |
| Authorized Official Name and Position | Dayne Jensen (PRESIDENT) |
| Authorized Official Contact | 8016987121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Jordan Oral And Facial Surgery 3632 W South Jordan Pkwy Ste 103 South Jordan UT 84009-7163 Ph: () - | South Jordan Oral And Facial Surgery 3632 W South Jordan Pkwy Ste 103 South Jordan UT 84009-7163 Ph: (580) 355-6000 |
| NPI Number | 1316442841 |
|---|---|
| Provider Enumeration Date | 03/27/2018 |
| Last Update Date | 03/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316442841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 183 (Oklahoma) | Primary |
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South Jordan Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1268 W South Jordan Pkwy, Suite 302, South Jordan, UT 84095 Phone: 801-253-3900 Fax: 801-253-3342 | |
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Copper Cove Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3473 W South Jordan Pkwy Ste 3, South Jordan, UT 84095 Phone: 801-446-2080 Fax: 801-446-2757 | |
Pony Exress Orthodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5396 W Daybreak Pkwy, South Jordan, UT 84009 Phone: 801-614-7669 | |
Little People's Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1268 W South Jordan Pkwy, Suite 101, South Jordan, UT 84095 Phone: 801-446-8007 Fax: 801-676-1030 | |
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