National Provider Identifier Database

THE TOOTH DOCTOR
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

THE TOOTH DOCTOR
2180 E FORT UNION BLVD.
SALT LAKE CITY, UT84121
Phone: 801-944-4141
Fax: 801-944-6377
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for THE TOOTH DOCTOR

NPI Number 1316172596
Legal business name
LBN
THE TOOTH DOCTOR
Authorized official RAY DILLMAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/18/2009
Last updated 05/18/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 1395529922

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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