Creek Road Orthodontics And Pediatric Dentistry

LBN: Creek Road Orthodontics And Pediatric Dentistry
Creek Road Orthodontics And Pediatric Dentistry is an health care organization with primary practice located at 7410 Creek Rd Suite #200, Sandy UT 84093-6140. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is the primary health care specialty. Creek Road Orthodontics And Pediatric Dentistry can be contacted via phone (801) 562-5505, or through Olsen, Barney Todd via phone (801) 562-5505.

Contact Information

Primary practice address
7410 Creek Rd Suite #200 Sandy UT 84093-6140
Phone: (801) 562-5505
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Olsen, Barney Todd D.D.S., M.S.
Phone: (801) 562-5505

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 76505 Utah
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 76505 Utah

Profile Details

NPI number 1912274051
LBN Legal business name Creek Road Orthodontics And Pediatric Dentistry
DBA Doing business as
Authorized official Olsen, Barney Todd D.D.S., M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2011
Last updated Nov 17th, 2011 - about 13 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 1912274051 NPPES
Utah MEDICAID 528962557001

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