Individual
JEREMY BRIAN ABRAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
942 E NORTH UNION AVE, SUITE A108, MIDVALE, UT 84047-1764
(801) 562-2147
(801) 569-1795
Mailing address
942 E NORTH UNION AVE, SUITE A108, MIDVALE, UT 84047-1764
(801) 562-2147
(801) 569-1795
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4920693
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01463896
UNITED CONCORDIA
UT
01
—
49206939901001
BLUE CROSS BLUE SHIELD
UT
Enumeration date
11/03/2006
Last updated
07/08/2007
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