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Jeremy Bruce Mahoney, DMD
General Practice Dentistry in West Jordan, Utah
NPI 1083069561

Jeremy Bruce Mahoney is a General Practice Dentistry based in West Jordan, UT and is specialized in General Practice. Jeremy Bruce Mahoney practices in West Jordan, UT and has the professional credentials of DMD. The NPI Number for Jeremy Bruce Mahoney is 1083069561 and holds a License No. (Utah).

The current practice location address for Jeremy Bruce Mahoney is 8846 S Redwood Rd Ste N201, West Jordan, UT and can be reached out via phone at 801-566-0631. You can also correspond with Jeremy Bruce Mahoney through the mailing address at 8846 S REDWOOD RD STE N201, WEST JORDAN, UT - 84088-4702 (mailing address contact number: 801-566-0631).

Location: 8846 S Redwood Rd Ste N201, West Jordan, UT, 84088-4702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083069561
Provider Name
Jeremy Bruce Mahoney
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
8846 S Redwood Rd Ste N201, West Jordan, UT, 84088-4702
Phone Number
801-566-0631
Fax Number
Provider Enumeration Date
05/03/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8846 S Redwood Rd Ste N201
City
West Jordan
State
Utah
Zip
84088-4702
Phone Number
801-566-0631
Fax Number
person
Provider Business Mailing Address Details
Address
8846 S Redwood Rd Ste N201
City
West Jordan
State
Utah
Zip
84088-4702
Phone Number
801-566-0631
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
9823805-9922 (Utah)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Utah)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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