Smart Smiles Utah
LBN: Smart Smiles Utah
Smart Smiles Utah 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.
Smart Smiles Utah can be contacted via phone (801) 649-4222, or through Clark, Tanner M via phone (801) 649-4222.
Contact Information
Primary practice address
10597 S Beach Comber Way
South Jordan UT 84009-6132
Phone: (801) 649-4222
Fax:
Website:
Authorized official contact:
Name: Clark, Tanner M Doctor of Dental Medicine (DMD)
Phone: (801) 649-4222
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 9860439-9921 | Utah |
Profile Details
NPI number | 1679055081 |
---|---|
LBN Legal business name | Smart Smiles Utah |
DBA Doing business as | |
Authorized official | Clark, Tanner M Doctor of Dental Medicine (DMD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 31st, 2018 |
Last updated | Aug 31st, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1679055081 | NPPES |
Utah | MEDICAID | 9860439-9921 |
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