Jonathan Ashman, DMD
Individual provider Active NPI General Practice Dentistry · Provo, UT
NPI 1851968283 · NPPES record last updated Jun 4, 2021
Key facts
- NPI
- 1851968283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12317355-9923 (UT)
- Practice address
- 3610 N University Ave
Provo, UT 84604-4437 - Phone
- (801) 377-9600
- NPI assigned
- Jun 4, 2021
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12317355-9923 | UT | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12317355-9923 | UT | Yes |
Addresses
Primary practice location
3610 N University Ave
Provo, UT 84604-4437
Mailing address
3610 N University Ave
Provo, UT 84604-4437
Phone (801) 377-9600
Other providers in Provo, UT
- Thomas Ash
- Clark S Ashby
- Helena Marie Ashby
- Paul Lyman Ashliman
- Ashman Dental L.L.C.
- Tyler James Ashman
- Maia Ashmore
- Alyssa Clare Ashton
- Chelsea Ashton
- Jessica Bailey Ashton
All providers in Provo, UT · General Practice Dentistry in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.