Gollaher, Chad Jordan

Gollaher, Chad Jordan is an sole proprietor health care provider with primary practice located at 148 S 1100 E , American Fork UT 84003-2817. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Gollaher, Chad Jordan can be contacted via phone (801) 756-6048.

Contact Information

Primary practice address
148 S 1100 E American Fork UT 84003-2817
Phone: (801) 756-6048
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X 10789138-9923 Utah

Profile Details

NPI number 1356795769
LBN Legal business name Gollaher, Chad Jordan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2016
Last updated Nov 5th, 2018 - about 8 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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