NPI 1114781689

Maurice G Jenkins PLLC

Organisation Oral and Maxillofacial Surgery (Dentist) Provo, UT

Practice location

Address: 280 River Park Dr STE 360, Provo, UT 84604-5835
Phone: (801) 437-7701
Fax: (801) 356-6326

Authorised official

Name: Maurice Gustaf Jenkins
Title: Owner
Phone: (801) 437-7701

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X

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Registry record

NPI: 1114781689
Entity type: Organization
NPI issued: 6 Feb 2024
Record last updated: 6 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.