Individual provider · Type 1 NPI

Samuel Blackham Bailey, DMD

Pediatric Dentistry · Taylorsville, UT

NPI number 1285990978 Active

Practice location

2964 W 4700 S Ste 103
Taylorsville, UT 84129-2558

Fax (801) 417-8090

Mailing address

31 Lake Ridge Dr
Kaysville, UT 84037-9655

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X7693653-9922 (UT)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1285990978

Samuel Blackham Bailey, DMD's National Provider Identifier is 1285990978, issued on Apr 6, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Taylorsville, UT. The record was last updated on May 16, 2023.