Bailey, Samuel Blackham
Bailey, Samuel Blackham is an sole proprietor health care provider with primary practice located at 2964 W 4700 S Ste 103 , Taylorsville UT 84129-2558. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Bailey, Samuel Blackham can be contacted via phone (801) 417-8080.Contact Information
Primary practice address
2964 W 4700 S Ste 103
Taylorsville UT 84129-2558
Phone: (801) 417-8080
Fax: (801) 417-8090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 7693653-9922 | Utah |
Profile Details
| NPI number | 1285990978 |
|---|---|
| LBN Legal business name | Bailey, Samuel Blackham |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2012 |
| Last updated | May 16th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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