Gordon, Jason M
Gordon, Jason M is an individual health care provider with primary practice located at 1963 S 1200 E Ste 103 , Salt Lake City UT 84105-3523. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gordon, Jason M can be contacted via phone (801) 466-1212.Contact Information
Primary practice address
1963 S 1200 E Ste 103
Salt Lake City UT 84105-3523
Phone: (801) 466-1212
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 11313905-9922 | Utah |
Profile Details
| NPI number | 1801455597 |
|---|---|
| LBN Legal business name | Gordon, Jason M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2019 |
| Last updated | Jun 9th, 2020 - about 6 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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