# HEALTHY IMAGE ORAL & MAXILLOFACIAL RADIOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548775216
- **Authorized official:** DR. JACOB S DUNN DMD, MS (DIRECTOR)
- **Authorized official phone:** (385) 444-3210

## Contact information

- **Practice address:** 14056 S CHARDONNAY WAY, BLUFFDALE, UT 84065-3857
- **Practice address phone:** (385) 444-3210
- **Mailing address:** PO BOX 656, DRAPER, UT 84020-0656

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry | — | NULL | Yes |
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2017
- **Last updated:** 12/04/2017