NPI 1891798179

Joseph D Vreeken, DDS

Practitioner General Practice Dentistry Montezuma Creek, UT

Practice location

Address: East Highway 262, Montezuma Creek, UT 84534-0130
Phone: (435) 651-3291
Fax: (435) 651-3376
Mailing address: PO Box 130, Montezuma Creek, UT 84534-0130

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 5136584-9922 (UT)

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Registry record

NPI: 1891798179
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 May 2005
Record last updated: 8 Jul 2007

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.