IHC HEALTH SERVICES INC NPI 1073177648

NPI Information

NPI: 1073177648
Provider Name: IHC HEALTH SERVICES INC

Doing Business As: SOUTHRIDGE DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3723 W 12600 S STE 430
RIVERTON, UT
ZIP 84065
Phone: (801) 285-4200
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IHC HEALTH SERVICES INC is a dental clinic center in Riverton, UT. IHC HEALTH SERVICES INC NPI is 1073177648. The provider is registered as an organization entity type.
The provider Is Doing Business As Southridge Dentistry.

The provider's business location address is:

3723 W 12600 S STE 430
RIVERTON, UT
ZIP 84065-310
Phone: (801) 285-4200

The provider's authorized official is Seth Glickman .
The authorized official title is Intmn Medical Group Pres/cmo Cbc and has the following contact phone number (801) 442-2905.

The enumeration date for this NPI number is 4/29/2019 and was last updated on 4/29/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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