Jon Ralph Chisholm, D.D.S

General Practice Dentistry · Santaquin, UT

Individual Active NPI

NPI number 1811065683

Practice location

10 S 300 W
Santaquin, UT 84655-8147
Phone
(801) 754-0678
Fax
(801) 754-1157

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NPI record

NPI
1811065683
Entity type
Individual (Type 1)
Enumeration date
December 1, 2006
Last updated
August 3, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 973419729921 UT

Mailing address

10 S 300 W
P.O Box 266
Santaquin, UT 84655-8147
Phone
(801) 754-0678
Fax
(801) 754-1157

About Dr. Chisholm

Jon Ralph Chisholm, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 10 S 300 W, Santaquin, UT 84655-8147. The NPI number 1811065683 was assigned on December 1, 2006 and the record was last updated on August 3, 2010.

Dr. Chisholm lists a license in the registry: #973419729921 (UT) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jon Ralph Chisholm, D.D.S?

The NPI number is 1811065683.

What is the phone number of Dr. Chisholm?

The phone number listed for the practice location is (801) 754-0678.

Where is Dr. Chisholm located?

10 S 300 W, Santaquin, UT 84655-8147.

What is the taxonomy code for Dr. Chisholm?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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