Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225239171 Individual Practitioner Male Practitioner

Dr. Jonathan J Kolon , DDS

Dentist - General Practice • Santa Clara, UT

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Kolon, DDS is a registered healthcare professional specializing in Dentist - General Practice in Santa Clara, UT. Practice services are available at 3176 SANTA CLARA DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3176 Santa Clara Drive

Santa Clara, UT 84765

Telephone 4356156819
Fax 4356580041

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Santa Clara, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Santa Clara, UT (1388 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-09-25
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License UT 4994088

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Fein
201588686 (UT)

Secondary Practice Locations

Naval Medicasl Center Portsmouth

Portsmouth, VA 23708

Phone: 7579592711

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Business Mailing Address September 28, 2020

Registered at 3176 SANTA CLARA DR, SANTA CLARA, UT 847655338 (Tel: 4356156819)

NPI Profile Active September 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 21, 2017

Registered at 3176 SANTA CLARA DRIVE, SANTA CLARA, UT 84765 (Tel: 4356156819)

📍
Updated Business Mailing Address September 21, 2017

Registered at P.O. BOX 2339, PARK CITY, UT 84060 (Tel: (435) 615-6819)

👤
Provider Name / Credentials Updated September 21, 2017

Recorded as JONATHAN KOLON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2017

Dentist (License #4994088 in UT)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 6415 BUSINESS PARK LOOP RD STE J, PARK CITY, UT 840986218 (Tel: 4356580032)

📍
Updated Business Mailing Address July 08, 2007

Registered at 6415 BUSINESS PARK LOOP RD STE J, PARK CITY, UT 840986218 (Tel: 4356580032)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JONATHAN KOLON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #4994088 in UT)

🟢
Initial NPI Registration & Enumeration May 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225239171
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2007
Last Update: September 28, 2020
Sole Proprietor: No

Mailing Address

3176 Santa Clara Dr

Santa Clara, UT 847655338

Phone: 4356156819

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.