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NELSON & TILLMANN FAMILY DENTISTRY PC NPI 1700315462


NPI Information

NPI: 1700315462
Provider Name: NELSON & TILLMANN FAMILY DENTISTRY, PC

Doing Business As: NELSON & TILLMANN FAMILY DENTISTRY, P.L.L.C.

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5872 S. 900 E. STE 202
SALT LAKE CITY, UT
ZIP 84121
Phone: (801) 281-8433
Get Directions

NELSON & TILLMANN FAMILY DENTISTRY, PC 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. NELSON & TILLMANN FAMILY DENTISTRY, PC NPI is 1700315462. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Nelson & Tillmann Family Dentistry, P.l.l.c..

The provider's business location address is:

5872 S. 900 E. STE 202
SALT LAKE CITY, UT
ZIP 84121
Phone: (801) 281-8433
Fax: (801) 281-8455

The provider's authorized official is Mclean Boddy .
The authorized official title is Office Manager and has the following contact phone number (801) 281-8433.

The enumeration date for this NPI number is 6/7/2017 and was last updated on 7/21/2022.


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
11223G0001XDentistGeneral Practice7579281UTAHYes

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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