Jay Glen Shields in Bountiful - Dentist

Jay Glen Shields - NPI 1902004450

Jay Glen Shields is a Dentist in Bountiful, Utah. Jay Glen Shields practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jay Glen Shields is 1902004450. The last update date is 2007-07-08.

Jay Glen Shields's current location address is 1037 E Claremont Dr, Bountiful, Utah. You can contact this provider via phone number 8012951613 and fax number 8012951613. The mailing address for Jay Glen Shields is 1037 E Claremont Dr, Bountiful, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Jay Glen Shields
Address 1037 E Claremont Dr, Bountiful, Utah
Phone Number 8012951613
Fax Number 8012951613
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1902004450
Provider Enumeration Date 2007-07-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1037 E Claremont Dr
City Bountiful
State Utah (UT)
Post Code 84010
Phone Number 8012951613
Fax Number 8012951613

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 1300729922
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Jay Glen Shields

What is the unique provider identifier assigned to Jay Glen Shields?

The Jay Glen Shields has been issued the NPI (National Provider Identifier) 1902004450 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Jay Glen Shields's facilities are geographically located?

The facilities of Jay Glen Shields are physically situated at the following location: 1037 E Claremont Dr, Bountiful, UT, 84010.

What is Jay Glen Shields's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jay Glen Shields is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.

On what date did Jay Glen Shields receive its 1902004450 assignment from the Centers for Medicare & Medicaid Services?

The Jay Glen Shields was assigned its 1902004450 on 2007-07-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Jay Glen Shields, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jay Glen Shields, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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