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HEALTHY IMAGE ORAL & MAXILLOFACIAL RADIOLOGY NPI 1548775216


NPI Information

NPI: 1548775216
Provider Name: HEALTHY IMAGE ORAL & MAXILLOFACIAL RADIOLOGY
Classification: Dentist - 1223X0008X
Entity Type: Organization

Specialization: Oral and Maxillofacial Radiology

Address:
14056 S CHARDONNAY WAY
BLUFFDALE, UT
ZIP 84065
Phone: (385) 444-3210
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HEALTHY IMAGE ORAL & MAXILLOFACIAL RADIOLOGY is an oral and maxillofacial radiology dentist in Bluffdale, UT. The provider is the specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. HEALTHY IMAGE ORAL & MAXILLOFACIAL RADIOLOGY NPI is 1548775216. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14056 S CHARDONNAY WAY
BLUFFDALE, UT
ZIP 84065-857
Phone: (385) 444-3210

The provider's authorized official is Jacob S Dunn .
The authorized official title is Director and has the following contact phone number (385) 444-3210.

The enumeration date for this NPI number is 12/4/2017 and was last updated on 12/4/2017.


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
11223X0008XDentistOral and Maxillofacial RadiologyYes

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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