Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEREMY ROBERT CHIDESTER, M.D.
ActiveDR. JEREMY ROBERT CHIDESTER, M.D. is a Plastic Surgery healthcare provider located in SOUTH JORDAN, Utah. NPI 1194015693 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · SOUTH JORDAN, UT
Registration Details
- NPI Number
- 1194015693
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 18, 2011 (15.296518746922 yrs)
- Last Updated
- May 12, 2023
- Licenses
-
10668647-1205 (UT)10668647-1205 (UT)
Practice Information
- Address
-
1309 W SOUTH JORDAN PKWY STE 110SOUTH JORDAN, UT, 840959014Browse UT providers · Browse ZIP 84095
- Phone
- 8018395557
- Fax
- 8017704455
- Primary Specialty
-
Plastic Surgery
208200000X
- Additional Specialty
- Plastic Surgery
Other Plastic Surgery Providers in SOUTH JORDAN, UT
| Name | Credential | NPI |
|---|---|---|
| DR. BRYAN VERN SONNTAG | MD | 1558418673 |
| DR. GRANT ANDREAS FAIRBANKS | MD | 1013056357 |
| BRYAN PYFER | — | 1568825719 |
| MAKAYLA NELSON | — | 1285195743 |
| RYLEE FAYE WOODWARD | LME | 1508522442 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.