NPI 1982142824

Bluffdale Dental

Organisation Exclusive Provider Organization Bluffdale, UT

Practice location

Address: 14100 S Redwood Rd, Bluffdale, UT 84065-5204
Phone: (801) 254-2626
Fax: (801) 849-1444

Authorised official

Name: David Babcock
Title: Dentist
Phone: (801) 254-2626

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 5483941 (UT)

Other Exclusive Provider Organization providers in Utah →

Registry record

NPI: 1982142824
Entity type: Organization
NPI issued: 10 Feb 2017
Record last updated: 10 Feb 2017

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.