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ACCESSIBLE DENTAL LLC NPI 1407490402


NPI Information

NPI: 1407490402
Provider Name: ACCESSIBLE DENTAL LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1236 E CEDAR RIDGE RD
SANDY, UT
ZIP 84094
Phone: (801) 572-5552
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ACCESSIBLE DENTAL LLC is a dental clinic center in Sandy, UT. ACCESSIBLE DENTAL LLC NPI is 1407490402. The provider is registered as an organization entity type.

The provider's business location address is:

1236 E CEDAR RIDGE RD
SANDY, UT
ZIP 84094-603
Phone: (801) 572-5552

The provider's authorized official is Cortney Humphrey .
The authorized official title is Co-owner and has the following contact phone number (801) 916-0200.

The enumeration date for this NPI number is 11/1/2019 and was last updated on 11/1/2019.


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
1261QD0000XClinic/CenterDentalYes

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
11902034119OTHERNPI
21225327281OTHERNPI
31699902106OTHERNPI

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
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