National Provider Identifier Database

SOUTHTOWN ENDODONTICS
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

SOUTHTOWN ENDODONTICS
45 W 10000 S
SUITE 305
SANDY, UT84070
Phone: 801-233-0503
Fax: 801-233-0593
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for SOUTHTOWN ENDODONTICS

NPI Number 1780694885
Legal business name
LBN
SOUTHTOWN ENDODONTICS
Authorized official THOMAS VAN DEN BERGHE - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/09/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 55467

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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