Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeremy Bruce Mahoney, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083069561

Jeremy Bruce Mahoney, DMD is a Student in an Organized Health Care Education/Training Program in West Jordan, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2016
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

West Jordan, UT

No coordinates on file. Search this address in Google Maps

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 9823805-9922 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (UT)

Record details

NPI number1083069561
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 3, 2016
Last updated in NPPESFebruary 24, 2021
Certification dateFebruary 24, 2021

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