UNIVERSITY OF UTAH DENTAL SERVICES NPI 1043668379

NPI Information

UNIVERSITY OF UTAH DENTAL SERVICES is a dental clinic center in Midvale, UT. UNIVERSITY OF UTAH DENTAL SERVICES NPI is 1043668379. The provider is registered as an organization entity type.
The provider Is Doing Business As Uuhc Greenwood Health Center Dental Clinic.

The provider's business location address is:

7495 S STATE ST
MIDVALE, UT
ZIP 84047-013
Phone: (801) 213-9590

The provider's authorized official is James H Bekker .
The authorized official title is Department Chair and has the following contact phone number (801) 587-6336.

The CLIA number assigned to this NPI record is 46D0056773 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/26/2016 and was last updated on 5/21/2020.

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:

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