The Tooth Doctor

LBN: The Tooth Doctor
The Tooth Doctor is an health care organization with primary practice located at 2180 E Fort Union Blvd. , Salt Lake City UT 84121. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. The Tooth Doctor can be contacted via phone (801) 944-4141, or through Dillman, Ray E via phone (801) 944-4141.

Contact Information

Primary practice address
2180 E Fort Union Blvd. Salt Lake City UT 84121
Phone: (801) 944-4141
Fax: (801) 944-6377
Website:
Map and Directions
Authorized official contact:
Name: Dillman, Ray E D.D.S.,P.C.
Phone: (801) 944-4141

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 1395529922 Utah

Profile Details

NPI number 1316172596
LBN Legal business name The Tooth Doctor
DBA Doing business as
Authorized official Dillman, Ray E D.D.S.,P.C.
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2009
Last updated May 18th, 2009 - about 15 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