Individual provider · Type 1 NPI
Chad Jordan Gollaher, DMD
Pediatric Dentistry · American Fork, UT
NPI number
1356795769
Active
Practice location
148 S 1100 E
American Fork, UT 84003-2817
Mailing address
79 W Alexandrine St
Detroit, MI 48201-2015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | 10789138-9923 (UT) |
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.
4 other providers at this address
- Smith and Macdonald Pediatric DentistryPediatric Dentistry American Fork, UT NPI 1316234032
- David M. Macdonald, DDSPediatric Dentistry American Fork, UT NPI 1790943629
- Jeremiah Jorgensen, P.A.Physician Assistant American Fork, UT NPI 1669704045
- Robert Blake Steele, MDMOHS-Micrographic Surgery Physician American Fork, UT NPI 1598128985
Other pediatric dentistry providers in American Fork
About NPI 1356795769
Chad Jordan Gollaher, DMD's National Provider Identifier is 1356795769, issued on Apr 21, 2016. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in American Fork, UT. The record was last updated on Nov 5, 2018.