Individual provider · Type 1 NPI
Courtland Glen Cottrell, DDS
General Practice Dentistry · Salt Lake City, UT
NPI number
1104908086
Active
Practice location
3920 S 1100 E Ste 270
Salt Lake City, UT 84124-1271
Fax (801) 266-5006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 137395 (UT) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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- Brittney Pauline Ciszek, DDS, PhDGeneral Practice Dentistry Salt Lake City, UT NPI 1023645454
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About NPI 1104908086
Courtland Glen Cottrell, DDS's National Provider Identifier is 1104908086, issued on Oct 19, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.