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
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 5682796 (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.