39TH & 13TH Street Dental
Organization Active NPI Dentist · Holladay, UT
NPI 1780912147 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1780912147
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- 39TH & 13TH STREET DENTAL
- Practice address
- 1345 E 3900 S
Suite 206
Holladay, UT 84124-1474 - Phone
- (801) 278-1333
- Fax
- (801) 278-6500
- NPI assigned
- Nov 24, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Steven C Pinegar, DDS
- Title
- Dentist
- Phone
- (801) 278-1333
Practitioners 1
-
Layne C Brown, DDS
National Provider Directory
Locations
1345 E 3900 S
Ste 206
Holladay, UT 84124
Phone (801) 278-1333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | UT | Yes |
Addresses
Primary practice location
1345 E 3900 S
Suite 206
Holladay, UT 84124-1474
Mailing address
1345 East 3900 South
Suite 206
Holladay, UT 84124
Phone (801) 278-1333
Other providers in Holladay, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.