Unknown Individual – Dentist, NPI 1174738173
Dentist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2180, 4500 South, Holladay, Salt Lake County, Utah, 84117, United States
SUITE 265
HOLLADAY, UT 841174434
Phone: (801) 277-2913
Fax: (801) 277-4486
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84117)
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