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Organization

JODY W. ADAMS DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JODY W. ADAMS (OWNER)
(435) 723-6120
Entity
Organization

Contact information

Practice address
241 W FOREST ST, BRIGHAM CITY, UT 84302-2022
(435) 723-6120
(435) 723-2861
Mailing address
241 W FOREST ST, BRIGHAM CITY, UT 84302-2022
(435) 723-6120
(435) 723-2861

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2064
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
451293689003
UT
Enumeration date
11/30/2011
Last updated
11/30/2011
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