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Mark Jardine, DDS
NPI 1801177704 · on the registry since 2011
Practice
- Address
- 3330 N University Ave Ste A
Provo, UT 84604 - Phone
- (801) 615-2917
- Organisation at this address
- Jay D Scott Dds Pc
Jardine Alliance PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah