=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922203959
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOSEPH K GEE DDSPC
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/19/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 226 N 1100 E SUITE G
-----------------------------------------------------
City | AMERICAN FORK
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84003-2054
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-756-0400
-----------------------------------------------------
Fax | 801-763-1606
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10608 N 5400 W
-----------------------------------------------------
City | HIGHLAND
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84003-8902
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-756-6482
-----------------------------------------------------
Fax | 801-763-1606
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223X0400X
-----------------------------------------------------
Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
-----------------------------------------------------
License Number | 221382469921
-----------------------------------------------------
License Number State | UT
-----------------------------------------------------