DR. CARTER TIMOTHY BRUETT DDS NPI 1578149001

NPI Information

  • NPI: 1578149001
  • Provider Name: DR. CARTER TIMOTHY BRUETT, DDS
  • Classification: Dentist - 1223P0106X
  • Specialization: Oral and Maxillofacial Pathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 530 S WAKARA WAY
    SALT LAKE CITY, UT
    ZIP 84108
  • Phone: (801) 631-5779

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NPI Details

DR. Carter Timothy Bruett, DDS is an oral and maxillofacial pathology dentist in Salt Lake City, UT with 4 years of experience. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. DR. Carter Timothy Bruett, DDS NPI is 1578149001. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF DENTISTRY
Graduation Year:2021

The provider's business location address is:

530 S WAKARA WAY
SALT LAKE CITY, UT
ZIP 84108-213
Phone: (801) 631-5779

The NPI 1578149001 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 3/23/2021 and was last updated on 3/9/2025.

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
1122300000XDentist12317468-9923UTAHNo
21223P0106XDentistOral and Maxillofacial Pathology12317468-9923UTAHYes

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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