Jenkins, Maurice Gustaf
Jenkins, Maurice Gustaf is an individual health care provider with primary practice located at 280 River Park Dr Ste 360 , Provo UT 84604-5835. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Jenkins, Maurice Gustaf can be contacted via phone (801) 437-7701.Contact Information
Primary practice address
280 River Park Dr Ste 360
Provo UT 84604-5835
Phone: (801) 437-7701
Fax: (801) 356-6326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 6700 | Nebraska |
Profile Details
| NPI number | 1285831990 |
|---|---|
| LBN Legal business name | Jenkins, Maurice Gustaf |
| Credentials | D.D.S., M.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2007 |
| Last updated | Dec 11th, 2020 - about 5 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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