Individual provider · Type 1 NPI

Jon Ralph Chisholm, D.D.S

General Practice Dentistry · Santaquin, UT

NPI number 1811065683 Active

Practice location

10 S 300 W
Santaquin, UT 84655-8147

Fax (801) 754-1157

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X973419729921 (UT)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1811065683

Jon Ralph Chisholm, D.D.S's National Provider Identifier is 1811065683, issued on Dec 1, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Santaquin, UT. The record was last updated on Aug 3, 2010.