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CHISHOLM FAMILY DENTISTRY INC NPI 1255499083


NPI Information

NPI: 1255499083
Provider Name: CHISHOLM FAMILY DENTISTRY INC

Former Legal Business Name: RICHARD T CHILSHOLM DDS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
30 S MAIN ST
MONROE, UT
ZIP 84754
Phone: (435) 527-3555
Get Directions

CHISHOLM FAMILY DENTISTRY INC is a general practice dentist in Monroe, 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. CHISHOLM FAMILY DENTISTRY INC NPI is 1255499083. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Richard T Chilsholm Dds.

The provider's business location address is:

30 S MAIN ST
MONROE, UT
ZIP 84754
Phone: (435) 527-3555
Fax: (435) 527-3618

The provider's authorized official is Richard T Chilsholm .
The authorized official title is Dentist Owner and has the following contact phone number (435) 527-3555.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 8/22/2020.


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
11223G0001XDentistGeneral Practice3241439921UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1528376111001MEDICAIDUTAH

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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