# JR DMD SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lehi Pediatric Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790352326
- **Authorized official:** JOHN REIMSCHIISSEL (OWNER)
- **Authorized official phone:** (801) 885-9484

## Contact information

- **Practice address:** 216 E MAIN ST STE 3, LEHI, UT 84043-2233
- **Practice address phone:** (801) 766-5557
- **Mailing address:** 216 E MAIN ST STE 3, LEHI, UT 84043-2233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2021
- **Last updated:** 06/10/2021
