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NPI Code Detail

MEDICARE: DR. JEFFREY F DORIUS DDS

MEDICARE: DR. JEFFREY F DORIUS DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry47449419922UT

General Provider Information

NPI Number : 1184658809
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY F DORIUS DDS
Provider Business Mailing Address
First Line : PO BOX 792
Second Line :
City : HEBER CITY
State : UT
Zip : 84032-0792
Country : US
Telephone Number : 435-657-1700
Fax Number : 435-657-1707
Provider Business Practice Location Address
First Line : 380 E 1500 S
Second Line : STE 205
City : HEBER CITY
State : UT
Zip : 84032-3940
Country : US
Telephone Number : 435-657-1700
Fax Number : 435-657-1707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 02/03/2015

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