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Contact Information

ENDODONTIC ASSOCIATES
1434 E 4500 S STE 201
SALT LAKE CITY, UT84117-4252
 Phone: 801-272-5800
 Fax: 801-272-5897
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ENDODONTIC ASSOCIATES

NPI # 1861637308
LBN Legal business name ENDODONTIC ASSOCIATES
Authorized official BRIAN GRONEMAN - (ENDODONTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 12/12/2008
Last updated 12/12/2008 - About 17 years ago
Identifiers
UT License # 0144898992
UT License # 145399923
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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