DEER CREEK CHILDRENS DENTISTRY; NPI #1326584921

Contact Information

DEER CREEK CHILDRENS DENTISTRY

575 SOUTH 200 EAST
HEBER CITY, UT 84032

Phone: 801-669-1607
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Pediatric Dentistry	1223P0221X

Indicates primary specialty

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NPI Profile & details for DEER CREEK CHILDRENS DENTISTRY

NPI # 1326584921

LBN Legal business name DEER CREEK CHILDRENS DENTISTRY

Authorized official TRAVIS WHITE - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/06/2017

Last updated 01/06/2017 - About 9 years ago

Identifiers

License #

101772830160

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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DEER CREEK CHILDRENS DENTISTRY

Contact Information

Specialty

Pediatric Dentistry

NPI Profile & details for DEER CREEK CHILDRENS DENTISTRY

Reviews for DEER CREEK CHILDRENS DENTISTRY