Individual
DR. JAMES FARRELL MCCONNELL IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
263 COUNTRY CLB, STANSBURY PARK, UT 84074-9600
(435) 249-0482
Mailing address
263 COUNTRY CLB, STANSBURY PARK, UT 84074-9600
(435) 249-0482
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12180064-9921
UT
Other
Enumeration date
03/09/2021
Last updated
04/07/2021
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