Organization
UTAH NAVAJO HEALTH SYSTEM, INCORPOARTED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JENSEN (CEO)
(435) 651-3713
Entity
Organization
Contact information
Practice address
#2 RAINBOW ROAD, NAVAJO MOUNTAIN, UT 86044
(928) 672-2839
(928) 672-2839
Mailing address
PO BOX 130, MONTEZUMA CREEK, UT 84534-0130
(435) 651-3291
(435) 651-3642
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
296101-9922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811991151
—
UT
Enumeration date
03/02/2007
Last updated
06/11/2019
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