Individual
JACOB SCOTT HAMBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10011 CENTENNIAL PKWY, SUITE 540, SANDY, UT 84070-4156
(801) 255-7645
(801) 255-9667
Mailing address
10011 CENTENNIAL PKWY, SUITE 540, SANDY, UT 84070-4156
(801) 255-7645
(801) 255-9667
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
377590-9922
UT
1223G0001X
General Practice Dentistry
4758
NV
Other
Enumeration date
08/11/2008
Last updated
11/14/2022
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