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SIMPLY SMILES DENTAL UTAH NPI 1124664834


NPI Information

NPI: 1124664834
Provider Name: SIMPLY SMILES DENTAL UTAH
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2592 S 5600 W STE 102
WEST VALLEY CITY, UT
ZIP 84120
Phone: (801) 613-2904
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SIMPLY SMILES DENTAL UTAH is a dental clinic center in West Valley City, UT. SIMPLY SMILES DENTAL UTAH NPI is 1124664834. The provider is registered as an organization entity type.

The provider's business location address is:

2592 S 5600 W STE 102
WEST VALLEY CITY, UT
ZIP 84120-274
Phone: (801) 613-2904

The provider's authorized official is Alisynn Dickson .
The authorized official title is Owner and has the following contact phone number (801) 613-2904.

The enumeration date for this NPI number is 11/18/2019 and was last updated on 1/30/2020.


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
1261QD0000XClinic/CenterDentalYes

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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