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SOUTHTOWN ENDODONTICS NPI 1780694885


NPI Information

NPI: 1780694885
Provider Name: SOUTHTOWN ENDODONTICS
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
45 W 10000 S
SUITE 305
SANDY, UT
ZIP 84070
Phone: (801) 233-0503
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SOUTHTOWN ENDODONTICS is an endodontics dentist in Sandy, UT. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. SOUTHTOWN ENDODONTICS NPI is 1780694885. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

45 W 10000 S
SUITE 305
SANDY, UT
ZIP 84070
Phone: (801) 233-0503
Fax: (801) 233-0593

The provider's authorized official is Thomas Mark Van Den Berghe .
The authorized official title is Owner and has the following contact phone number (801) 233-0503.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 8/22/2020.


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
11223E0200XDentistEndodontics55467UTAHYes

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: 11/14/2023

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.