Individual provider · Type 1 NPI

Jeffery K. Rupp, DMD, M.S.

Pediatric Dentistry · Salt Lake City, UT

NPI number 1720149453 Active

Practice location

1548 E 4500 S, Suite 102
Salt Lake City, UT 84117-4209

Call (801) 463-1900 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X6273877-9922 (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.

5 other providers at this address

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About NPI 1720149453

Jeffery K. Rupp, DMD, M.S.'s National Provider Identifier is 1720149453, issued on Dec 13, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 27, 2012.