Jeremy Dwight Manwaring in Salt Lake City - Periodontics
Jeremy Dwight Manwaring - NPI 1659536225
Jeremy Dwight Manwaring is a Periodontics in Salt Lake City, Utah. Jeremy Dwight Manwaring practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jeremy Dwight Manwaring is 1659536225. The last update date is 2008-07-23.
Jeremy Dwight Manwaring's current location address is 6287 S. Redwood Road, Salt Lake City, Utah. You can contact this provider via phone number 8012938833 and fax number 8012938844. The mailing address for Jeremy Dwight Manwaring is 6287 S. Redwood Road, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Dwight Manwaring |
|---|---|
| Address | 6287 S. Redwood Road, Salt Lake City, Utah |
| Phone Number | 8012938833 |
| Fax Number | 8012938844 |
| Sole Proprietor | Y |
| Credentials | DMD,MS |
NPI Number Detail
| NPI Number | 1659536225 |
|---|---|
| Provider Enumeration Date | 2008-07-23 |
| Last Updated Date | 2008-07-23 |
Provider Mailing Address Detail
| Address | 6287 S. Redwood Road |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 84123 |
| Phone Number | 8012938833 |
| Fax Number | 8012938844 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 5682796 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the Jeremy Dwight Manwaring's unique identification number?
The Jeremy Dwight Manwaring has been assigned the NPI (National Provider Identifier) Number 1659536225 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Jeremy Dwight Manwaring?
The Jeremy Dwight Manwaring is physically situated at 6287 S. Redwood Road, in the city of Salt Lake City, state of UT, with the postal code 84123.
What is the Jeremy Dwight Manwaring's area of specialization and corresponding taxonomy classification?
The Jeremy Dwight Manwaring's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1659536225 to Jeremy Dwight Manwaring?
The Centers for Medicare & Medicaid Services originally issued the 1659536225 to Jeremy Dwight Manwaring on 2008-07-23.
When was the information regarding Jeremy Dwight Manwaring, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jeremy Dwight Manwaring, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-07-23.