Individual
DR. JORDAN SANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6770 S 900 E STE 301, MIDVALE, UT 84047-1761
(801) 416-1599
Mailing address
885 E MONARCH VIEW LN, SALT LAKE CITY, UT 84106-1273
(208) 794-0468
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11723611-9922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11723611-8903
UTAH CONTROLLED SUBSTANCE LICENSE
UT
01
—
11723611-9922
UTAH DENTAL LICENSE
UT
Enumeration date
07/08/2020
Last updated
07/08/2020
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