person
Jeffery K. Rupp, DMD,MS
Pediatric Dentist in Salt Lake City, Utah
NPI 1720149453

Jeffery K. Rupp is a Pediatric Dentist based in Salt Lake City, UT and is specialized in Pediatric Dentistry. Jeffery K. Rupp practices in Salt Lake City, UT and has the professional credentials of DMD,MS. The NPI Number for Jeffery K. Rupp is 1720149453 and holds a License No. 6273877-9922 (Utah).

The current practice location address for Jeffery K. Rupp is 1548 E 4500 S, Salt Lake City, UT and can be reached out via phone at 801-463-1900.

Location: 1548 E 4500 S, Salt Lake City, UT, 84117-4209
person
Provider Profile Details
NPI Number
1720149453
Provider Name
Jeffery K. Rupp
Credential
DMD,MS
Provider Entity Type
Individual
Gender
Male
Address
1548 E 4500 S, Salt Lake City, UT, 84117-4209
Phone Number
801-463-1900
Fax Number
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1548 E 4500 S
City
State
Zip
84117-4209
Phone Number
801-463-1900
Fax Number
person
Provider Business Mailing Address Details
Address
1548 E 4500 S
City
State
Zip
84117-4209
Phone Number
801-463-1900
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
6273877-9922 (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.
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