STATE OF UTAH DEPARTMENT OF HEALTH NPI 1437252491

NPI Information

  • NPI: 1437252491
  • Provider Name: STATE OF UTAH, DEPARTMENT OF HEALTH
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: FAMILY DENTAL PLAN
  • Address: SALT LAKE CLINIC - FAMILY DENTAL PLAN
    3195 SOUTH MAIN STREET, SUITE 200
    SALT LAKE CITY, UT
    ZIP 84114
  • Phone: (801) 468-0342

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NPI Details

STATE OF UTAH, DEPARTMENT OF HEALTH is a general practice dentist in Salt Lake City, 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. STATE OF UTAH, DEPARTMENT OF HEALTH NPI is 1437252491. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Family Dental Plan.

The provider's business location address is:

SALT LAKE CLINIC - FAMILY DENTAL PLAN
3195 SOUTH MAIN STREET, SUITE 200
SALT LAKE CITY, UT
ZIP 84114
Phone: (801) 468-0342

The provider's authorized official is David Sundwall .
The authorized official title is Executive Director and has the following contact phone number (801) 538-6111.

The enumeration date for this NPI number is 9/6/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

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: 3/30/2025

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