Stansbury Park Pediatric Dentistry

LBN: Stansbury Park Pediatric Dentistry
Stansbury Park Pediatric Dentistry is an health care organization with primary practice located at 263 Country Clb Ste 102 , Stansbury Park UT 84074-9602. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Stansbury Park Pediatric Dentistry can be contacted via phone (435) 580-8800, or through Shigley, Alisha via phone (435) 580-8800.

Contact Information

Primary practice address
263 Country Clb Ste 102 Stansbury Park UT 84074-9602
Phone: (435) 580-8800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shigley, Alisha
Phone: (435) 580-8800

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1487295218
LBN Legal business name Stansbury Park Pediatric Dentistry
DBA Doing business as
Authorized official Shigley, Alisha
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2019
Last updated Oct 2nd, 2019 - about 5 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 1487295218 NPPES
Utah Other 1346761152 NPI
Utah Other 1811237076 NPI
Utah Other 1275821415 NPI

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