U&O - Dental

LBN: Dhew Ind Hlth Svcs & Mntl Hlth Svcs
U&O - Dental is an health care organization with primary practice located at 6822 E 1000 South , Fort Duchesne UT 84026. The organization recently has 5 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Periodontics, Dental Providers / Dental Hygienist. Dental Providers / Dentist is the primary health care specialty. Dhew Ind Hlth Svcs & Mntl Hlth Svcs can be contacted via phone (435) 722-5122, or through Martin, Delbert Gary via phone (435) 725-6874.

Contact Information

Primary practice address
6822 E 1000 South Fort Duchesne UT 84026
Phone: (435) 722-5122
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martin, Delbert Gary RPH
Phone: (435) 725-6874

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Dental Hygienist 124Q00000X

Profile Details

NPI number 1730341215
LBN Legal business name Dhew Ind Hlth Svcs & Mntl Hlth Svcs
DBA Doing business as U&O - Dental
Authorized official Martin, Delbert Gary RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2008
Last updated Apr 4th, 2013 - about 12 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 1730341215 NPPES
Arizona Other AZ0522260 BLUE CROSS BLUE SHIELD
Arizona MEDICAID 700000000009 BLUE CROSS BLUE SHIELD

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