Whalio Doctors

NPI 1194331785

Utah Smile Clinic

Organisation General Practice Dentistry Taylorsville, UT

Practice location

Address
6321 S Redwood Rd STE 206, Taylorsville, UT 84123-6972
Phone
(801) 590-8694
Fax
(801) 290-2761

Authorised official

Name
Randy Roberts
Title
Owner/Dentist
Phone
(801) 590-8694

Registered specialties (3)

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X
Pediatric Dentistry
Dental Providers Taxonomy 1223P0221X
Prosthodontics
Dental Providers Taxonomy 1223P0700X

Registry record

NPI
1194331785
Entity type
Organization
NPI issued
18 Sep 2020
Record last updated
18 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.