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Contact Information

ANYTIME DENTAL NO. 1, LLC
11576 S STATE ST
SUITE 1201
DRAPER, UT84020-6431
 Phone: 801-716-7006
 Fax: 801-716-7070
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ANYTIME DENTAL NO. 1, LLC

NPI Number 1295153831
LBN Legal business name ANYTIME DENTAL NO. 1, LLC
Authorized official DRAKE VINCENT - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/01/2014
Last updated 04/01/2014 - About 12 years ago
Identifiers
UT License # 4737943
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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