Utah Dental Providers

LBN: Utah Dental Providers
Utah Dental Providers is an health care organization with primary practice located at 1909 W 4700 S , Salt Lake City UT 84118-1105. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Utah Dental Providers can be contacted via phone (801) 968-9548, or through Ballard, John Everett via phone (972) 755-0800.

Contact Information

Primary practice address
1909 W 4700 S Salt Lake City UT 84118-1105
Phone: (801) 968-9548
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ballard, John Everett
Phone: (972) 755-0800

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 18458 Texas

Profile Details

NPI number 1104903152
LBN Legal business name Utah Dental Providers
DBA Doing business as
Authorized official Ballard, John Everett
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Aug 22nd, 2020 - 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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