NPI 1013126051

Michael Reed Slater, DDS

Practitioner General Practice Dentistry Salt Lake City, UT

Practice location

Address: 500 Foothill Blvd, Salt Lake City, UT 84148-0001
Phone: (801) 584-1206
Mailing address: 1380 S 1300 E, Salt Lake City, UT 84105-2557

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 6590893-9922 (UT)

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Registry record

NPI: 1013126051
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 May 2007
Record last updated: 8 Jul 2007

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.