CREED S HAYMOND DDS PC; NPI #1831339829

Contact Information

CREED S HAYMOND DDS PC

1434 E 9400 SOUTH
SUITE 102
SANDY, UT 84093

Phone: 801-576-0077
Fax: 801-495-1837
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for CREED S HAYMOND DDS PC

NPI # 1831339829

LBN Legal business name CREED S HAYMOND DDS PC

Authorized official CREED HAYMOND - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/03/2009

Last updated 03/06/2009 - About 17 years ago

Identifiers

UT	License #	145378
UT	Medicaid	528027009017

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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CREED S HAYMOND DDS PC

Contact Information

Specialty

Oral & Maxillofacial Surgery

NPI Profile & details for CREED S HAYMOND DDS PC

Reviews for CREED S HAYMOND DDS PC