Dr. Maurice Gustaf Jenkins, D.D.S., M.D.
Dentist, Oral and Maxillofacial Surgery in Provo, UT. Individual provider (NPI-1).
NPI number1285831990
StatusActive
Last updated in NPPESDec 11, 2020
Details
- NPI
- 1285831990
- Entity type
- Individual (NPI-1)
- Name
- Dr. Maurice Gustaf Jenkins
- Credential
- D.D.S., M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2007
- Certification date
- Dec 11, 2020
- Last updated
- Dec 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 6700 | NE | Yes |
Practice location
280 River Park Dr Ste 360Provo, UT 84604-5835
Phone 801-437-7701 · Fax 801-356-6326
Mailing address
280 River Park Dr Ste 360Provo, UT 84604-5835
Phone 801-437-7701 · Fax 801-356-6326
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Other Oral and Maxillofacial Surgery (Dentist) providers in Provo, UT
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- Maurice G Jenkins PLLCNPI 1114781689
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All 14 Oral and Maxillofacial Surgery (Dentist) providers in Provo · All 6,098 providers in Provo
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