Provider Demographics
NPI:1033557467
Name:FINNERTY, GILLIAN HODGKIN (DDS)
Entity Type:Individual
Prefix:
First Name:GILLIAN
Middle Name:HODGKIN
Last Name:FINNERTY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 W PARRISH LN STE 101
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84014-1853
Mailing Address - Country:US
Mailing Address - Phone:801-376-3183
Mailing Address - Fax:
Practice Address - Street 1:331 W PARRISH LN
Practice Address - Street 2:STE 101
Practice Address - City:CENTERVILLE
Practice Address - State:UT
Practice Address - Zip Code:84014-1852
Practice Address - Country:US
Practice Address - Phone:801-298-3230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-07
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.023995122300000X
UT9787091-9922122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist