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Contact Information

BOUNTIFUL DENTISTRY
625 E 500 S
SUITE 201
BOUNTIFUL, UT84010-3882
 Phone: 801-292-0443
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BOUNTIFUL DENTISTRY

NPI # 1053743922
LBN Legal business name BOUNTIFUL DENTISTRY
Authorized official MARK NELSON - (PART OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/02/2013
Last updated 08/02/2013 - About 13 years ago
Identifiers
UT License # 2013-45880
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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