IndividualActive
Elliott Jolley
NPI 1699039644 · Orthodontics and Dentofacial Orthopedics Dentistry · Vernal, UT
Provider details
- NPI number
- 1699039644
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 8079919-9922 (UT)
Specialties & taxonomies
Dental Providers
Practice location
582 N 1700 W
Vernal, UT 84078-8200
Phone: (435) 781-1234
Approximate (ZIP-level) locationGet directions
Mailing address
582 N 1700 W
Vernal, UT 84078-8200
Registry dates
- Enumerated
- 2012-06-25
- Last updated
- 2012-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.