INTERMOUNTAIN FAMILY DENTAL CARE NPI 1629436951

NPI Information

INTERMOUNTAIN FAMILY DENTAL CARE is a general practice dentist in West Jordan, 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. INTERMOUNTAIN FAMILY DENTAL CARE NPI is 1629436951. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2414 W 7800 S
WEST JORDAN, UT
ZIP 84088-292
Phone: (801) 573-4300

The provider's authorized official is Michael Loeser .
The authorized official title is Dentist and has the following contact phone number (801) 573-4300.

The CLIA number assigned to this NPI record is 46D0933827 - other - instacare with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/1/2016 and was last updated on 2/1/2016.

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:

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