Individual provider · Type 1 NPI

Jeremy Dwight Manwaring, DMD, MS

Periodontics · Salt Lake City, UT

NPI number 1659536225 Active

Practice location

6287 S. Redwood Road, SUITE#102
Salt Lake City, UT 84123

Fax (801) 293-8844

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X5682796 (UT)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1659536225

Jeremy Dwight Manwaring, DMD, MS's National Provider Identifier is 1659536225, issued on Jul 23, 2008. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 23, 2008.