Search › Utah › 207ZP0102X
Jerry Hussong, DDS MD
NPI 1346201209 · on the registry since 2006
Practice
- Address
- 500 S Chipeta Way
Salt Lake City, UT 84108 - Phone
- (801) 583-2787
- Fax
- (801) 584-5141
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 207ZP0102X
207ZP0102X
- Also registered as
- 207ZH0000X
207ZH0000X
207ZH0000X
207ZP0102X
207ZP0102X - Licence states on file
- NV, CA, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-10-29
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