Dr. Blaine D. Austin Dds

LBN: Blaine D. Austin Dds Inc.
Dr. Blaine D. Austin Dds is an health care organization with primary practice located at 1250 East 3900 South Suite 210, Salt Lake City UT 84124. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Blaine D. Austin Dds Inc. can be contacted via phone (801) 264-1500, or through Austin, Blaine D via phone (801) 759-4378.

Contact Information

Primary practice address
1250 East 3900 South Suite 210 Salt Lake City UT 84124
Fax: (801) 265-9963
Website:
Authorized official contact:
Name: Austin, Blaine D Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 140958 Utah

Profile Details

NPI number 1679089239
LBN Legal business name Blaine D. Austin Dds Inc.
DBA Doing business as Dr. Blaine D. Austin Dds
Authorized official Austin, Blaine D Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2017
Last updated Jan 8th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679089239 NPPES
Utah MEDICAID U000005310

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