Don Rees Boren, D.D.S.

Individual provider Active NPI General Practice Dentistry · Highland, UT

NPI 1255425229 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1255425229
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
177634 (UT)
Practice address
5888 W 10920 N
Highland, UT 84003-9493
Phone
(801) 864-1715
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
177634UTMDGeneral Practice Dentistry

Networks

  • UT PPO D-SNP

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 177634 UT Yes

Addresses

Primary practice location

5888 W 10920 N
Highland, UT 84003-9493

Mailing address

5888 W 10920 N
Highland, UT 84003-9493
Phone (801) 864-1715

Other providers in Highland, UT

All providers in Highland, UT · General Practice Dentistry in Utah

Sources for this page

Verify at the official NPI Registry.