SALT LAKE DENTAL CARE NPI 1437682002

NPI Information

  • NPI: 1437682002
  • Provider Name: SALT LAKE DENTAL CARE
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 279 E 5900 S STE 202
    SALT LAKE CITY, UT
    ZIP 84107
  • Phone: (801) 938-8855

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NPI Details

SALT LAKE DENTAL CARE 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. SALT LAKE DENTAL CARE NPI is 1437682002. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

279 E 5900 S STE 202
SALT LAKE CITY, UT
ZIP 84107-425
Phone: (801) 938-8855
Fax: (801) 880-9832

The provider's authorized official is Clint Blackwood .
The authorized official title is Dentist and has the following contact phone number (801) 938-8855.

The enumeration date for this NPI number is 4/10/2017 and was last updated on 4/10/2017.

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 Practice5936346UTAHYes

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: 3/30/2025

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