NPI 1679672463 · live from the CMS NPI Registry
Jay A Aldous, DDS
Dentist, General Practice in Salt Lake City, UT. National Provider Identifier 1679672463, active.
NPI record
| NPI | 1679672463 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 50 N Medical Dr, Salt Lake City, UT 84132 |
| Practice phone | 801-581-2121 |
| Mailing address | Po Box 510721, Salt Lake City, UT 84151 |
| Enumerated | September 21, 2006 |
| Last updated | March 7, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 128004-9921 (UT) |
| Dentist, General Practice | 1223G0001X | 128004-8903 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.