Jacobsen, Matthew Vaughn

Jacobsen, Matthew Vaughn is an individual health care provider with primary practice located at 4013 W 13400 S , Riverton UT 84096-6410. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Jacobsen, Matthew Vaughn can be contacted via phone (385) 210-1000.

Contact Information

Primary practice address
4013 W 13400 S Riverton UT 84096-6410
Phone: (385) 210-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 8320347-9922 Utah

Profile Details

NPI number 1952659708
LBN Legal business name Jacobsen, Matthew Vaughn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2012
Last updated Feb 3rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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