Organization · Type 2 NPI

Enhance Dental- Millcreek, LLC

Dental Clinic/Center · Midvale, UT

NPI number 1215505201 Active

Practice location

6957 S 1300 East
Midvale, UT 84047

Call (801) 747-8015 Map

Mailing address

6957 S 1300 E
Midvale, UT 84047-1817

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

Other dental clinic/center providers in Midvale

See all in Midvale →

NPI record

NPI: 1215505201
Entity type: Organization (Type 2)
Issued: Jun 15, 2021
Last updated: Dec 4, 2023
Status: Active

Other names

<unavail>
Creek Dental Group- Millcreek · doing business as
Creek Dental Group- Millcreek · doing business as
Kids Dental Home Union Park · doing business as

Authorized official

Benjamin James Bowman
Owner
(405) 375-5855

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1215505201

Enhance Dental- Millcreek, LLC's National Provider Identifier is 1215505201, issued on Jun 15, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Midvale, UT. The record was last updated on Dec 4, 2023.