CITY CREEK DENTAL PLLC NPI 1013367036

NPI Information

NPI: 1013367036
Provider Name: CITY CREEK DENTAL, PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
175 S WEST TEMPLE STE 100
SALT LAKE CITY, UT
ZIP 84101
Phone: (801) 364-7943
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CITY CREEK DENTAL, PLLC is a dental clinic center in Salt Lake City, UT. CITY CREEK DENTAL, PLLC NPI is 1013367036. The provider is registered as an organization entity type.

The provider's business location address is:

175 S WEST TEMPLE STE 100
SALT LAKE CITY, UT
ZIP 84101-443
Phone: (801) 364-7943
Fax: (801) 364-3373

The provider's authorized official is Walter Landon Bye .
The authorized official title is Owner/partner and has the following contact phone number (801) 364-7943.

The enumeration date for this NPI number is 6/21/2016 and was last updated on 6/21/2016.

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
1	261QD0000X	Clinic/Center	Dental	7991108	UTAH	No
2	261QD0000X	Clinic/Center	Dental	5673900	UTAH	Yes

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

NPI Synchronization or Removal

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