Jerry V Brown
Dentist, General Practice in Lehi, UT. Organization (NPI-2).
NPI number1487946331
StatusActive
Last updated in NPPESMay 11, 2011
Details
- NPI
- 1487946331
- Entity type
- Organization (NPI-2)
- Legal business name
- Jerry V Brown
- Organization subpart
- No
- Enumeration date
- May 11, 2011
- Last updated
- May 11, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 142464-9922 | UT | Yes |
Practice location
588 E Main StLehi, UT 84043-2246
Phone 801-768-8028 · Fax 801-768-3567
Mailing address
588 E Main StLehi, UT 84043-2246
Phone 801-768-8028 · Fax 801-768-3567
Authorized official
Jerry Vernal Brown
Dentist
8017688028
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All 43 General Practice Dentistry providers in Lehi · All 1,501 providers in Lehi
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