Individual provider · Type 1 NPI

Harley Jo Whitesides

General Practice Dentistry · Stansbury Park, UT

NPI number 1124917695 Active

Practice location

576 E Highway 138 Ste 200
Stansbury Park, UT 84074-4028

Mailing address

67 N Terrace Dr
Clearfield, UT 84015-2235

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X14226474-9926 (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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About NPI 1124917695

Harley Jo Whitesides's National Provider Identifier is 1124917695, issued on Jun 30, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Stansbury Park, UT. The record was last updated on Jun 30, 2025.