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THE TOOTH DOCTOR NPI 1316172596


NPI Information

NPI: 1316172596
Provider Name: THE TOOTH DOCTOR
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
2180 E FORT UNION BLVD.
SALT LAKE CITY, UT
ZIP 84121
Phone: (801) 944-4141
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THE TOOTH DOCTOR is a preferred provider organization in Salt Lake City, UT. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. THE TOOTH DOCTOR NPI is 1316172596. The provider is registered as an organization entity type.

The provider's business location address is:

2180 E FORT UNION BLVD.
SALT LAKE CITY, UT
ZIP 84121
Phone: (801) 944-4141
Fax: (801) 944-6377

The provider's authorized official is Ray E Dillman .
The authorized official title is Owner and has the following contact phone number (801) 944-4141.

The enumeration date for this NPI number is 5/18/2009 and was last updated on 5/18/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization1395529922UTAHYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.