UTAH SMILE CLINIC NPI 1194331785

NPI Information

UTAH SMILE CLINIC is a general practice dentist in Taylorsville, 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. UTAH SMILE CLINIC NPI is 1194331785. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6321 S REDWOOD RD STE 206
TAYLORSVILLE, UT
ZIP 84123-972
Phone: (801) 590-8694
Fax: (801) 290-2761

The provider's authorized official is Randy Roberts .
The authorized official title is Owner/dentist and has the following contact phone number (801) 590-8694.

The enumeration date for this NPI number is 9/18/2020 and was last updated on 9/18/2020.

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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