University of Utah Dental Services

NPI #1043668379 in Midvale, Utah

Provider Information

NPI Number: 1043668379
Entity Type: Organization
Organization Name: University of Utah Dental Services
Subpart: Yes (part of a larger organization)
Parent Organization: UNIVERSITY OF UTAH DENTAL SERVICES
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 26, 2016
Last Updated: May 21, 2020

Practice Location

Address: 7495 S STATE ST
City: Midvale
State: Utah
ZIP Code: 84047-2013
Phone: (801) 213-9590

Authorized Official

Name: JAMES H BEKKER, DMD
Title: DEPARTMENT CHAIR
Phone: (801) 587-6336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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