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

Mr. Jerry William Hussong, DDSMD

Individual provider Hematology (Pathology) Physician · NPI 1346201209

Mr. Jerry William Hussong, DDSMD is a Hematology (Pathology) Physician in Salt Lake City, Utah. Licensed in California, Nevada and Utah. Registered with an NPI since 2006.

Licensed in
CA, NV, UT
In the registry since
2006
Specialties on file
6

Practice location Address checks out

500 S Chipeta Way
Salt Lake City, UT 84108-1221
Phone: (801) 583-2787
Fax: (801) 584-5141
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 3403921205 (UT)
Hematology (Pathology) Physician Taxonomy 207ZH0000X · Licence 9291 (NV)
Hematology (Pathology) Physician Taxonomy 207ZH0000X · Licence G86484 (CA)
Hematology (Pathology) Physician Taxonomy 207ZH0000X · Licence 3403921205 (UT)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 9291 (NV)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence G86484 (CA)

Record details

NPI number1346201209
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSMD
Sole proprietorNo
NPI enumeratedMarch 30, 2006
Last updated in NPPESOctober 29, 2013

Other providers in Salt Lake City