Individual
TALLON JAY NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1240 UT-193 SUITE G-1, LAYTON, UT 84040
(801) 510-8292
Mailing address
2782 E 2550 N, LAYTON, UT 84040-8138
(801) 510-8292
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14224160-9926
UT
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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