Pro Smiles Utah Llc

LBN: Pro Smiles Utah Llc
Pro Smiles Utah Llc is an health care organization with primary practice located at 10597 S Beach Comber Way , South Jordan UT 84009-6132. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Pro Smiles Utah Llc can be contacted via phone (801) 413-2814, or through Clark, Tanner M via phone (801) 413-2814.

Contact Information

Primary practice address
10597 S Beach Comber Way South Jordan UT 84009-6132
Phone: (801) 413-2814
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, Tanner M Doctor of Dental Medicine (DMD)
Phone: (801) 413-2814

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1821621129
LBN Legal business name Pro Smiles Utah Llc
DBA Doing business as
Authorized official Clark, Tanner M Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2020
Last updated Feb 15th, 2020 - about 4 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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