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Dr. Chad Jordan Gollaher, DMD
Pediatric Dentist in American Fork, Utah
NPI 1356795769

Chad Jordan Gollaher is a Pediatric Dentist based in Detroit, UT and is specialized in Pediatric Dentistry. Chad Jordan Gollaher practices in American Fork, UT and has the professional credentials of DMD. The NPI Number for Chad Jordan Gollaher is 1356795769 and holds a License No. (Utah).

The current practice location address for Chad Jordan Gollaher is 148 S 1100 E, American Fork, UT and can be reached out via phone at 801-756-6048.

Location: 148 S 1100 E, American Fork, UT, 48201-2015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356795769
Provider Name
Chad Jordan Gollaher
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
148 S 1100 E, American Fork, UT, 48201-2015
Phone Number
801-756-6048
Fax Number
Provider Enumeration Date
04/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
148 S 1100 E
City
American Fork
State
Utah
Zip
84003-2817
Phone Number
801-756-6048
Fax Number
person
Provider Business Mailing Address Details
Address
148 S 1100 E
City
American Fork
State
Utah
Zip
84003-2817
Phone Number
801-756-6048
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
10789138-9923 (Utah)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care 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.
()
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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