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3980 S 700 E DENTAL LLC NPI 1376088906


NPI Information

NPI: 1376088906
Provider Name: 3980 S 700 E DENTAL LLC

Doing Business As: SALT LAKE FAMILY DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
622 E 4500 S
STE 201
MURRAY, UT
ZIP 84107
Phone: (801) 268-8053
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3980 S 700 E DENTAL LLC is a dental clinic center in Murray, UT. 3980 S 700 E DENTAL LLC NPI is 1376088906. The provider is registered as an organization entity type.
The provider Is Doing Business As Salt Lake Family Dental.

The provider's business location address is:

622 E 4500 S
STE 201
MURRAY, UT
ZIP 84107
Phone: (801) 268-8053
Fax: (801) 268-3247

The provider's authorized official is Dallis Jacob Zurcher .
The authorized official title is Owner and has the following contact phone number (801) 268-8053.

The enumeration date for this NPI number is 1/5/2017 and was last updated on 8/16/2019.


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/CenterDental10042413-9921UTAHYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.