Boseman, Jordan Cody

Boseman, Jordan Cody is an sole proprietor health care provider with primary practice located at 4190 S Highland Dr , Salt Lake City UT 84124-2600. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Boseman, Jordan Cody can be contacted via phone (801) 278-0840.

Contact Information

Primary practice address
4190 S Highland Dr Salt Lake City UT 84124-2600
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9418741-9922 Utah

Profile Details

NPI number 1871977322
LBN Legal business name Boseman, Jordan Cody
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2015
Last updated Jul 15th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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