Jonathan Ashman, DMD
Dentist, General Practice in Provo, UT. Individual provider (NPI-1).
NPI number1851968283
StatusActive
Last updated in NPPESJun 4, 2021
Details
- NPI
- 1851968283
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Ashman
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2021
- Certification date
- Jun 4, 2021
- Last updated
- Jun 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 12317355-9923 | UT | Yes |
Practice location
3610 N University AveProvo, UT 84604-4437
Phone 801-377-9600
Mailing address
3610 N University AveProvo, UT 84604-4437
Phone 801-377-9600
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