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Contact Information

CHISHOLM FAMILY DENTISTRY INC
30 S MAIN ST
MONROE, UT84754
 Phone: 435-527-3555
 Fax: 435-527-3618
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for CHISHOLM FAMILY DENTISTRY INC

NPI # 1255499083
LBN Legal business name CHISHOLM FAMILY DENTISTRY INC
Authorized official RICHARD CHILSHOLM - (DENTIST OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
UT License # 3241439921
UT Medicaid 528376111001
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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