Individual provider · Type 1 NPI
Jeanne Ann Hibler, DDS
Pediatric Dentistry · Salt Lake, UT
NPI number
1609883677
Active
Practice location
1580 East 3900 South, #110
Salt Lake, UT 84124
Fax (801) 272-1825
Mailing address
2549 Silver Cloud Ct
Park City, UT 84060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 144222 (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.
About NPI 1609883677
Jeanne Ann Hibler, DDS's National Provider Identifier is 1609883677, issued on Aug 2, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Salt Lake, UT. The record was last updated on Jul 8, 2007.