Gavin Huntington, D.D.S.

Individual provider Active NPI General Practice Dentistry · Santaquin, UT

NPI 1992933840 · NPPES record last updated Jun 30, 2009

Key facts

NPI
1992933840
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
7390100-9922 (UT)
Practice address
340 E Main St
Suite 5
Santaquin, UT 84655-7078
Phone
(435) 749-0610
NPI assigned
Jun 30, 2009
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7390100-9922UTMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7390100-9922 UT Yes

Addresses

Primary practice location

340 E Main St
Suite 5
Santaquin, UT 84655-7078

Mailing address

340 E Main St
Suite 5
Santaquin, UT 84655-7078

Other providers in Santaquin, UT

All providers in Santaquin, UT · General Practice Dentistry in Utah

Sources for this page

Verify at the official NPI Registry.