Dr. Jacob S Dunn, D.M.D., M.S.
Dentist, Oral and Maxillofacial Radiology in Draper, UT. Individual provider (NPI-1).
NPI number1063781425
StatusActive
Last updated in NPPESDec 4, 2017
Details
- NPI
- 1063781425
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacob S Dunn
- Credential
- D.M.D., M.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 14, 2011
- Last updated
- Dec 4, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0008X | Dentist, Oral and Maxillofacial Radiology | 7827882-9922 | UT | Yes |
| 1223X0008X | Dentist, Oral and Maxillofacial Radiology | 59617 | CA |
Practice location
12180 S 300 E Unit 656Draper, UT 84020-2629
Phone 702-483-8664
Mailing address
12180 S 300 E Unit 656Draper, UT 84020-2629
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