Vine Street Pediatric Dentistry

LBN: Vine Street Pediatric Dentistry
Vine Street Pediatric Dentistry is an health care organization with primary practice located at 678 E Vine St Suite #12, Murray UT 84107-5546. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Vine Street Pediatric Dentistry can be contacted via phone (801) 268-1135, or through Nicol, Marci via phone (801) 918-4135.

Contact Information

Primary practice address
678 E Vine St Suite #12 Murray UT 84107-5546
Phone: (801) 268-1135
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nicol, Marci
Phone: (801) 918-4135

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1184045049
LBN Legal business name Vine Street Pediatric Dentistry
DBA Doing business as
Authorized official Nicol, Marci
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2013
Last updated Dec 19th, 2013 - about 12 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