Jared Craig Jesperson in Salt Lake City - General Practice

Jared Craig Jesperson - NPI 1134340698

Jared Craig Jesperson is a General Practice in Salt Lake City, Utah. Jared Craig Jesperson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jared Craig Jesperson is 1134340698. The last update date is 2007-07-08.

Jared Craig Jesperson's current location address is 1140 Brickyard Rd, Salt Lake City, Utah. You can contact this provider via phone number 8014749552 and fax number 8014749558. The mailing address for Jared Craig Jesperson is 1140 Brickyard Rd, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Jared Craig Jesperson
Address 1140 Brickyard Rd, Salt Lake City, Utah
Phone Number 8014749552
Fax Number 8014749558
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1134340698
Provider Enumeration Date 2007-05-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1140 Brickyard Rd
City Salt Lake City
State Utah (UT)
Post Code 841062565
Phone Number 8014749552
Fax Number 8014749558

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5451902-9921
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Jared Craig Jesperson

What is the unique 10-digit identification code issued to Jared Craig Jesperson by the Centers for Medicare & Medicaid Services?

The Jared Craig Jesperson has been assigned the NPI (National Provider Identifier) 1134340698 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Jared Craig Jesperson is geographically located?

The Jared Craig Jesperson is physically situated at the following location: 1140 Brickyard Rd, Salt Lake City, UT, 841062565.

What is the Jared Craig Jesperson's area of specialization and corresponding taxonomy classification?

The Jared Craig Jesperson's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

On what date was the 1134340698 assigned to Jared Craig Jesperson?

The Jared Craig Jesperson was issued its 1134340698 on 2007-05-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Jared Craig Jesperson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jared Craig Jesperson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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