Out Of This World Sj

LBN: Out Of This World Dentistry Sj Pc
Out Of This World Sj is an health care organization with primary practice located at 10426 S. 4000 W. , South Jordan UT 84009. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Out Of This World Dentistry Sj Pc can be contacted via phone (801) 260-0400, or through Stark, Cory via phone (801) 260-0400.

Contact Information

Primary practice address
10426 S. 4000 W. South Jordan UT 84009
Phone: (801) 260-0400
Fax: (801) 619-5399
Website:
Map and Directions
Authorized official contact:
Name: Stark, Cory Doctor of Dental Surgery (DDS)
Phone: (801) 260-0400

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1811396260
LBN Legal business name Out Of This World Dentistry Sj Pc
DBA Doing business as Out Of This World Sj
Authorized official Stark, Cory Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 21st, 2014
Last updated Jul 21st, 2022 - about 2 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.

Request for update

Popular Providers