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NPI Code Detail

MEDICARE: REED E JORGENSEN D.D.S

MEDICARE:   REED E JORGENSEN  D.D.S
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 Dentistry1739UT

General Provider Information

NPI Number : 1598788333
Entity Type Code : Individual
Provider Name (Legal Business Name) : REED E JORGENSEN D.D.S
Provider Business Mailing Address
First Line : 1260 N 200 E STE 3
Second Line :
City : LOGAN
State : UT
Zip : 84341-2382
Country : US
Telephone Number : 435-753-2882
Fax Number : 435-787-2087
Provider Business Practice Location Address
First Line : 1260 N 200 E STE 3
Second Line :
City : LOGAN
State : UT
Zip : 84341-2382
Country : US
Telephone Number : 435-753-2882
Fax Number : 435-787-2087
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 05/17/2026

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Directions to “ REED E JORGENSEN D.D.S” Practice Location

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