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WASATCH FAMILY DENTISTRY NPI 1477649697


NPI Information

NPI: 1477649697
Provider Name: WASATCH FAMILY DENTISTRY

Doing Business As: BACK OF THE WASATCH FAMILY & COSMETIC DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 46D2229921

Address:
380 E 1500 S
#203
HEBER CITY, UT
ZIP 84032
Phone: (435) 654-4500
Get Directions

WASATCH FAMILY DENTISTRY is a general practice dentist in Heber City, UT. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. WASATCH FAMILY DENTISTRY NPI is 1477649697. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Back Of The Wasatch Family & Cosmetic Dentistry.

The provider's business location address is:

380 E 1500 S
#203
HEBER CITY, UT
ZIP 84032
Phone: (435) 654-4500
Fax: (435) 654-3728

The provider's authorized official is Reed D Lobrot .
The authorized official title is Pres and has the following contact phone number (435) 654-4500.

The CLIA number assigned to this NPI record is 46D2229921 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 3/19/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice373732-9922UTAHYes

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

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