Provider Demographics
NPI:1235918657
Name:AFFORDABLE DENTURES & IMPLANTS - UTAH, PLLC
Entity Type:Organization
Organization Name:AFFORDABLE DENTURES & IMPLANTS - UTAH, PLLC
Other - Org Name:AFFORDABLE DENTURES & IMPLANTS - WEST VALLEY CITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMMON
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:385-355-3092
Mailing Address - Street 1:2981 S 5600 W UNIT 3
Mailing Address - Street 2:
Mailing Address - City:WEST VALLEY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84120-1302
Mailing Address - Country:US
Mailing Address - Phone:385-355-3092
Mailing Address - Fax:
Practice Address - Street 1:2981 S 5600 W UNIT 3
Practice Address - Street 2:
Practice Address - City:WEST VALLEY CITY
Practice Address - State:UT
Practice Address - Zip Code:84120-1302
Practice Address - Country:US
Practice Address - Phone:385-355-3092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-25
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty