RIVERSIDE FAMILY DENTAL CARE INC NPI 1316300460

NPI Information

NPI: 1316300460
Provider Name: RIVERSIDE FAMILY DENTAL CARE, INC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1614 W 700 N
SALT LAKE CITY, UT
ZIP 84116
Phone: (385) 229-4222
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RIVERSIDE FAMILY DENTAL CARE, INC is a dental clinic center in Salt Lake City, UT. RIVERSIDE FAMILY DENTAL CARE, INC NPI is 1316300460. The provider is registered as an organization entity type.

The provider's business location address is:

1614 W 700 N
SALT LAKE CITY, UT
ZIP 84116
Phone: (385) 229-4222
Fax: (801) 883-9276

The provider's authorized official is Timothy Anger .
The authorized official title is Dentist/president and has the following contact phone number (385) 229-4222.

The enumeration date for this NPI number is 4/5/2016 and was last updated on 4/5/2016.

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	261QD0000X	Clinic/Center	Dental	4923760	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: 4/28/2024

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