Jacob Roy Rounds, DDS
Dentist, General Practice in Logan, UT. Individual provider (NPI-1).
NPI number1164059408
StatusActive
Last updated in NPPESAug 8, 2022
Details
- NPI
- 1164059408
- Entity type
- Individual (NPI-1)
- Name
- Jacob Roy Rounds
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2020
- Certification date
- Aug 8, 2022
- Last updated
- Aug 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 11847736-8903 | UT | Yes |
Practice location
1260 N 200 ELogan, UT 84341-7560
Phone 435-752-8000
Mailing address
1260 N 200 E Ste 9Logan, UT 84341-2382
Phone 435-752-8000
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All 41 General Practice Dentistry providers in Logan · All 1,815 providers in Logan
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