Ut Specialty Dental Services, Pllc

NPI #1851158794 in Spanish Fork, Utah

Provider Information

NPI Number
1851158794
Entity Type
Organization
Organization Name
Ut Specialty Dental Services, Pllc
Subpart
Yes (part of a larger organization)
Parent Organization
UT SPECIALTY DENTAL SERVICES, PLLC
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Mar 5, 2024
Last Updated
Mar 5, 2024

Practice Location

Address
497 N MAIN ST
State
Utah
ZIP Code
84660-3002
Phone
(801) 798-2100

Authorized Official

Name
CHARLOTTE V DASCH
Title
DIRECTOR OF CRED AND PR
Phone
(504) 638-0303

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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Organizations

Provider Name
Ut Specialty Dental Services, Pllc

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