Kirt Dallas Longfellow, DMD

NPI #1487381851 in Clinton, Utah

Provider Information

NPI Number: 1487381851
Entity Type: Individual
Name: Kirt Dallas Longfellow, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Aug 4, 2022
Last Updated: Aug 4, 2022

Practice Location

Address: 1737 N 2000 W STE G
City: Clinton
State: Utah
ZIP Code: 84015-8215
Phone: (801) 771-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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