Individual
JEFFREY A. THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
275 N 500 W, PROVO, UT 84601-3006
(801) 374-5768
Mailing address
860 ELGIN AVE, SALT LAKE CITY, UT 84106-1604
(801) 350-1685
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6287557-9922
UT
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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