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ACCESS PROFESSIONAL DENTAL CARELLC NPI 1053734384


NPI Information

NPI: 1053734384
Provider Name: ACCESS PROFESSIONAL DENTAL CARE,LLC

Doing Business As: BLUE HILLS DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4577 S 4000 W
WEST VALLEY, UT
ZIP 84120
Phone: (801) 966-0900
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ACCESS PROFESSIONAL DENTAL CARE,LLC is a general practice dentist in West Valley, 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. ACCESS PROFESSIONAL DENTAL CARE,LLC NPI is 1053734384. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Blue Hills Dental.

The provider's business location address is:

4577 S 4000 W
WEST VALLEY, UT
ZIP 84120-222
Phone: (801) 966-0900
Fax: (801) 966-5046

The provider's authorized official is Lorri Detrick .
The authorized official title is Chief Operating Officer and has the following contact phone number (916) 563-6002.

The enumeration date for this NPI number is 1/22/2014 and was last updated on 9/10/2014.


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
11223G0001XDentistGeneral PracticeUTAHYes

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

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