Jared Hepworth Valid NPI
Individual provider · General Practice Dentistry · Provo, UT
- NPI
- 1063893832
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 9436596-9922 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2015-06-17
- Last updated
- 2015-06-17
Practice location
1234 N 900 E
Provo, UT 84604-2719
(801) 854-9140