Zachary James Huntsman, DDS
Individual provider Active NPI Dentist · Perry, UT
NPI 1922848985 · NPPES record last updated Jun 11, 2024
Key facts
- NPI
- 1922848985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 140040338903 (UT)
- Practice address
- 2535 S Highway 89
Perry, UT 84302-6729 - Phone
- (435) 723-4302
- NPI assigned
- May 28, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 140040338903 | UT | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 140040338903 | UT | Yes |
Addresses
Primary practice location
2535 S Highway 89
Perry, UT 84302-6729
Mailing address
1180 N 100 E
Layton, UT 84041-2425
Phone (208) 851-2032
Other providers in Perry, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2024. 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.