Provider Demographics
NPI:1932990678
Name:SOJO32 LLC
Entity type:Organization
Organization Name:SOJO32 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OM
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:E
Authorized Official - Last Name:VIGOR
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:801-260-9150
Mailing Address - Street 1:3473 W SOUTH JORDAN PKWY STE 2
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-6016
Mailing Address - Country:US
Mailing Address - Phone:801-260-9150
Mailing Address - Fax:801-285-0971
Practice Address - Street 1:3473 W SOUTH JORDAN PKWY STE 2
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-6016
Practice Address - Country:US
Practice Address - Phone:801-260-9150
Practice Address - Fax:801-285-0971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-13
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty