Mahoney, Jeremy Bruce

Mahoney, Jeremy Bruce is an sole proprietor health care provider with primary practice located at 8846 S Redwood Rd Ste N201 , West Jordan UT 84088-4702. 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 / General Practice. Dental Providers / General Practice is his primary health care specialty. Mahoney, Jeremy Bruce can be contacted via phone (801) 566-0631.

Contact Information

Primary practice address
8846 S Redwood Rd Ste N201 West Jordan UT 84088-4702
Phone: (801) 566-0631
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Utah
Dental Providers / General Practice 1223G0001X 9823805-9922 Utah

Profile Details

NPI number 1083069561
LBN Legal business name Mahoney, Jeremy Bruce
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2016
Last updated Feb 24th, 2021 - about 5 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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