Healthcare Provider Details

I. General information

NPI: 1699133298
Provider Name (Legal Business Name): JOHN R LOHNER DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2016
Last Update Date: 02/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4587 W CEDAR HILLS DR SUITE 100
CEDAR HILLS UT
84062-8826
US

IV. Provider business mailing address

4587 W CEDAR HILLS DR SUITE 100
CEDAR HILLS UT
84062-8826
US

V. Phone/Fax

Practice location:
  • Phone: 801-756-2006
  • Fax: 801-756-0821
Mailing address:
  • Phone: 801-756-2006
  • Fax: 801-756-0821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number144808-9922
License Number StateUT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. JOHN R LOHNER
Title or Position: OWNER
Credential: DDS
Phone: 801-756-2006