Individual
DR. DEREK A. JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1761 N 2000 W, FARR WEST, UT 84404-9541
(801) 731-9058
(801) 731-9062
Mailing address
1761 N 2000 W, FARR WEST, UT 84404-9541
(801) 731-9058
(801) 731-9062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13404870-9921
UT
Other
Enumeration date
06/01/2023
Last updated
06/08/2023
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