Osguthorpe, Jeffrey Avaron
Osguthorpe, Jeffrey Avaron is an individual health care provider with primary practice located at 4645 S 4000 W Ste B , West Valley UT 84120-6250. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Osguthorpe, Jeffrey Avaron can be contacted via phone (801) 550-5103.Contact Information
Primary practice address
4645 S 4000 W Ste B
West Valley UT 84120-6250
Phone: (801) 550-5103
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 2901018951 | Michigan |
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 4947070-9924 | Utah |
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 2901018951 | Michigan |
Profile Details
NPI number | 1427127422 |
---|---|
LBN Legal business name | Osguthorpe, Jeffrey Avaron |
Credentials | DDS, MD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 6th, 2006 |
Last updated | Apr 15th, 2019 - 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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