Individual
JORDAN AMES WHATCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5888 S 900 E STE 101, SALT LAKE CITY, UT 84121-1644
(801) 281-8433
(801) 281-8455
Mailing address
5888 S 900 E STE 101, SALT LAKE CITY, UT 84121-1644
(801) 281-8433
(801) 281-8455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11739705-9922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700315462
TYPE 2 NPI
—
Enumeration date
05/26/2020
Last updated
05/26/2020
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