Individual provider · Type 1 NPI
Maurice Gustaf Jenkins, DDS, MD
Oral and Maxillofacial Surgery (Dentist) · Provo, UT
NPI number
1285831990
Active
Practice location
280 River Park Dr Ste 360
Provo, UT 84604-5835
Fax (801) 356-6326
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 6700 (NE) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2 other providers at this address
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About NPI 1285831990
Maurice Gustaf Jenkins, DDS, MD's National Provider Identifier is 1285831990, issued on Jun 27, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Provo, UT. The record was last updated on Dec 11, 2020.