Individual
DR. JOSEPH CHARLES JEPPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
86 N UNIVERSITY AVE STE 280, PROVO, UT 84601-5658
(801) 356-7701
(801) 356-1877
Mailing address
86 N UNIVERSITY AVE STE 280, PROVO, UT 84601-5658
(801) 356-7701
(801) 356-1877
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
294692-9922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497850309
NPI TYPE 2
UT
Enumeration date
12/16/2008
Last updated
05/26/2009
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