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CORNFIELD DENTAL CENTER NPI 1811975295


NPI Information

NPI: 1811975295
Provider Name: CORNFIELD DENTAL CENTER
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2845 W 12600 S
RIVERTON, UT
ZIP 84065
Phone: (801) 254-5255
Get Directions

CORNFIELD DENTAL CENTER is a general practice dentist in Riverton, 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. CORNFIELD DENTAL CENTER NPI is 1811975295. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2845 W 12600 S
RIVERTON, UT
ZIP 84065-147
Phone: (801) 254-5255
Fax: (801) 466-0819

The provider's authorized official is Bong K Noh .
The authorized official title is President and has the following contact phone number (801) 254-5255.

The enumeration date for this NPI number is 1/5/2006 and was last updated on 5/8/2008.


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 Practice3599589922UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1575358847025MEDICAIDUTAH

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.