SUGAR HOUSE DENTAL MANAGEMENT LLC NPI 1578928172

NPI Information

SUGAR HOUSE DENTAL MANAGEMENT LLC is a general practice dentist in Salt Lake 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. SUGAR HOUSE DENTAL MANAGEMENT LLC NPI is 1578928172. The provider is registered as an organization entity type.
The provider Is Doing Business As The Sugar House Dentist.

The provider's business location address is:

1955 S 1300 E STE L2
SALT LAKE CITY, UT
ZIP 84105-675
Phone: (801) 486-9649
Fax: (801) 486-9640

The provider's authorized official is Jared Theurer .
The authorized official title is Doctor and has the following contact phone number (801) 486-9649.

The enumeration date for this NPI number is 12/23/2015 and was last updated on 4/6/2023.

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:

Other Identifiers

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