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Individual

DR. CHAD SANDERS SLOAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, DDS

Contact information

Practice address
280 RIVER PARK DR STE 360, PROVO, UT 84604-5835
(801) 437-7701
Mailing address
280 RIVER PARK DR STE 360, PROVO, UT 84604-5835
(801) 362-9334

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
13593976-1205
UT
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
34965
NE
208600000X
Surgery Physician
13593976-1205
UT
208600000X
Surgery Physician
34965
NE

Other

Enumeration date
07/03/2018
Last updated
12/19/2024
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