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Contact Information

ROCKY MOUNTAIN ENDODONTICS, PLLC
5334 S WOODROW ST # 201
SALT LAKE CITY, UT84107-5838
 Phone: 801-833-6995
 Fax: 801-281-1980
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ROCKY MOUNTAIN ENDODONTICS, PLLC

NPI # 1306421102
LBN Legal business name ROCKY MOUNTAIN ENDODONTICS, PLLC
Authorized official RANDALL MADSEN - (ENDODONTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/12/2021
Last updated 03/12/2021 - About 5 years 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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