Individual
JASON G CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
2297 NO. HILLFIELD RD, STE. A105, LAYTON, UT 84041
(801) 779-0506
(801) 779-4344
Mailing address
2297 NO. HILLFIELD RD, STE. A105, LAYTON, UT 84041
(801) 779-0506
(801) 779-4344
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7263018-9924
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114134004
—
UT
Enumeration date
05/17/2007
Last updated
01/05/2012
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