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Individual

DR. JORDAN SANGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1732 W 5400 S, TAYLORSVILLE, UT 84129-1457
(385) 518-0400
Mailing address
9578 W GLADIOLA CT, STAR, ID 83669-6373
(208) 794-0468

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11723611-9922
UT
1223G0001X
General Practice Dentistry
Primary
D-5044
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11723611-8903
UTAH CONTROLLED SUBSTANCE LICENSE
UT
01
11723611-9922
UTAH DENTAL LICENSE
UT
01
CS59710
CONTROLLED SUBSTANCE LICENSE
ID
01
D-5044
DENTAL LICENSE
ID
Enumeration date
07/08/2020
Last updated
07/20/2026
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