PARK CITY DENTAL ASSOCIATES LLC NPI 1992261143

NPI Information

NPI: 1992261143
Provider Name: PARK CITY DENTAL ASSOCIATES LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 46D1050312

Address:
1830 PROSPECTOR AVE
PARK CITY, UT
ZIP 84060
Phone: (435) 649-6066
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PARK CITY DENTAL ASSOCIATES LLC is a dental clinic center in Park City, UT. PARK CITY DENTAL ASSOCIATES LLC NPI is 1992261143. The provider is registered as an organization entity type.

The provider's business location address is:

1830 PROSPECTOR AVE
PARK CITY, UT
ZIP 84060-319
Phone: (435) 649-6066

The provider's authorized official is Marc Brandon Mckee .
The authorized official title is Manager and has the following contact phone number (435) 671-7956.

The CLIA number assigned to this NPI record is 46D1050312 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/13/2019 and was last updated on 2/13/2019.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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