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Contact Information

UTAH SMILE CLINIC
6321 S REDWOOD RD STE 206
TAYLORSVILLE, UT84123-6972
 Phone: 801-590-8694
 Fax: 801-290-2761
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Pediatric Dentistry

1223P0221X
 

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for UTAH SMILE CLINIC

NPI # 1194331785
LBN Legal business name UTAH SMILE CLINIC
Authorized official RANDY ROBERTS - (OWNER/DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 09/18/2020
Last updated 09/18/2020 - About 6 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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