Planet Tooth Llc

LBN: Planet Tooth Llc
Planet Tooth Llc is an health care organization with primary practice located at 2682 Anna Caroline Dr , West Valley City UT 84128-5003. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Planet Tooth Llc can be contacted via phone (801) 974-5437, or through Powell, Leland Vernon via phone (801) 974-5437.

Contact Information

Primary practice address
2682 Anna Caroline Dr West Valley City UT 84128-5003
Phone: (801) 974-5437
Fax: (801) 964-9003
Website:
Map and Directions
Authorized official contact:
Name: Powell, Leland Vernon Doctor of Dental Surgery (DDS)
Phone: (801) 974-5437

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1740023779
LBN Legal business name Planet Tooth Llc
DBA Doing business as
Authorized official Powell, Leland Vernon Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2024
Last updated Jun 26th, 2024 - about last year

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 1740023779 NPPES
Utah MEDICAID 528554859000

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