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Contact Information

ASHLEY VALLEY FAMILY DENTAL
606 N 1700 W
VERNAL, UT84078-8200
 Phone: 435-789-1748
 Fax: 435-781-0081
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ASHLEY VALLEY FAMILY DENTAL · (Female)

NPI # 1184096026
Status Active
Credentials
Entity Individual
Enumeration date 10/29/2015
Last updated 10/29/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • UT License # 4920693-9922
  • UT License # 6221913-9922
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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