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Individual
DR. JOSHUA JEPPSON
Active
Individual
DR. JOSHUA JEPPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D-4167
ID
122300000X
Dentist
DS037626
PA
1223E0200X
Endodontics
8121225-9921
UT
1223E0200X
Endodontics
8121225-9922
UT
1223E0200X
Endodontics
Primary
D-4167-EN
ID
1223E0200X
Endodontics
D0934
SD
Other
Enumeration date
08/25/2008
Last updated
10/26/2017
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