UNIVERSITY OF UTAH DENTAL SERVICES NPI 1194119685

NPI Information

UNIVERSITY OF UTAH DENTAL SERVICES is a facial plastic surgery otolaryngology in Salt Lake City, UT. The provider is an otolaryngologist who specializes in facial plastic surgery. UNIVERSITY OF UTAH DENTAL SERVICES NPI is 1194119685. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Univ. Of Utah Hospital Otolaryngology-dental.

The provider's business location address is:

50 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84132-100
Phone: (801) 581-2121

The provider's authorized official is Sean Mulvihill .
The authorized official title is Chief Medical Officer and has the following contact phone number (801) 587-6336.

The enumeration date for this NPI number is 3/24/2015 and was last updated on 3/24/2015.

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:

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