NPI 1558006049 · live from the CMS NPI Registry
Mais Abu Ghosh, DDS
Dentist, General Practice in Saratoga Springs, UT. National Provider Identifier 1558006049, active.
NPI record
| NPI | 1558006049 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 334 N Willes Dr, Saratoga Springs, UT 84045 |
| Practice phone | 904-868-3249 |
| Enumerated | April 29, 2022 |
| Last updated | April 29, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 12168185-9922 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.