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Contact Information

SUNDANCE DERMATOLOGY, LLC
768 S 1600 W STE B
MAPLETON, UT84664-4563
 Phone: 801-477-6843
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for SUNDANCE DERMATOLOGY, LLC

NPI Number 1275404022
LBN Legal business name SUNDANCE DERMATOLOGY, LLC
Authorized official ERIC HANSON - (FOUNDER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/15/2025
Last updated 01/06/2026 - About 5 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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