Sandy Dental Management

NPI #1720660061 in Sandy, Utah

Provider Information

NPI Number: 1720660061
Entity Type: Organization
Organization Name: Sandy Dental Management
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 26, 2021
Last Updated: Apr 26, 2021

Practice Location

Address: 1434 E 9400 S STE 200
City: Sandy
State: Utah
ZIP Code: 84093-2900
Phone: (801) 572-4404

Authorized Official

Name: FAITH GASKINS
Title: DIRECTOR OF CREDENTIALING
Phone: (972) 869-3789

Specialties & Taxonomy Codes

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

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