BIG KAHUNA DENTAL LLC DBA ALOHA DENTAL NPI 1073928305

NPI Information

NPI: 1073928305
Provider Name: BIG KAHUNA DENTAL, LLC DBA ALOHA DENTAL
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
2792 S 5600 W
WEST VALLEY CITY, UT
ZIP 84120
Phone: (801) 969-9669
Get Directions

BIG KAHUNA DENTAL, LLC DBA ALOHA DENTAL is a pediatric dentistry dentist in West Valley City, UT. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. BIG KAHUNA DENTAL, LLC DBA ALOHA DENTAL NPI is 1073928305. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2792 S 5600 W
WEST VALLEY CITY, UT
ZIP 84120-590
Phone: (801) 969-9669
Fax: (801) 969-9779

The provider's authorized official is Kase Peery .
The authorized official title is Business Manager and has the following contact phone number (801) 969-9669.

The enumeration date for this NPI number is 6/25/2014 and was last updated on 3/23/2016.

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	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	317724-8903	UTAH	No
2	1223G0001X	Dentist	General Practice	5672733-9922	UTAH	No
3	1223G0001X	Dentist	General Practice	8919236-9921	UTAH	No
4	1223P0221X	Dentist	Pediatric Dentistry	9474332-9922	UTAH	No
5	1223S0112X	Dentist	Oral and Maxillofacial Surgery	135181-9924	UTAH	No
6	1223P0221X	Dentist	Pediatric Dentistry	7579613-9923	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: 11/14/2023

NPI Synchronization or Removal

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