Individual provider · Type 1 NPI

Boley Jacob Greenwood, DDS

Pediatric Dentistry · American Fork, UT

NPI number 1144307992 Active

Practice location

226 N 1100 E
American Fork, UT 84003-2054

Call (801) 756-6037 Map

Fax (801) 756-6088

Mailing address

5860 Alexis Rd.
Sylvania, OH 43560

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X6215313-9922 (UT)
Pediatric Dentistry Primary 1223P0221X30-023398 (OH)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

24 other providers at this address

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About NPI 1144307992

Boley Jacob Greenwood, DDS's National Provider Identifier is 1144307992, issued on Nov 1, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in American Fork, UT. The record was last updated on Aug 18, 2011.