Provider Demographics
NPI:1245677905
Name:HOBFOLL, ARI MICHAEL (DMD)
Entity type:Individual
Prefix:DR
First Name:ARI
Middle Name:MICHAEL
Last Name:HOBFOLL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2797 E WILLOW HILLS DR
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84093-1933
Mailing Address - Country:US
Mailing Address - Phone:435-655-5003
Mailing Address - Fax:
Practice Address - Street 1:3540 S 4000 W STE 440
Practice Address - Street 2:
Practice Address - City:WEST VALLEY
Practice Address - State:UT
Practice Address - Zip Code:84120-3295
Practice Address - Country:US
Practice Address - Phone:801-955-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0395081223G0001X
CODEN.002025091223P0221X
UT65191191223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223G0001XDental ProvidersDentistGeneral Practice