Bluffdale Dental

Organization Active NPI Exclusive Provider Organization · Bluffdale, UT

NPI 1982142824 · NPPES record last updated Feb 10, 2017

Key facts

NPI
1982142824
Entity type
Organization (NPI type 2)
Primary specialty
Exclusive Provider Organization 302F00000X
License
5483941 (UT)
Legal business name
BLUFFDALE DENTAL
Practice address
14100 S Redwood Rd
Bluffdale, UT 84065-5204
Phone
(801) 254-2626
Fax
(801) 849-1444
NPI assigned
Feb 10, 2017
Organization subpart
No

Authorized official

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

14100 S Redwood Rd
Bluffdale, UT 84065
Phone (801) 254-2626

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 5483941 UT Yes

Addresses

Primary practice location

14100 S Redwood Rd
Bluffdale, UT 84065-5204

Mailing address

14100 S Redwood Rd
Bluffdale, UT 84065-5204
Phone (801) 254-2626

Other providers in Bluffdale, UT

All providers in Bluffdale, UT · Exclusive Provider Organization in Utah

Sources for this page

Verify at the official NPI Registry.