Organization · Type 2 NPI

Nelson & Tillmann Family Dentistry, PC

General Practice Dentistry · Salt Lake City, UT

NPI number 1700315462 Active

Practice location

5872 S. 900 E. Ste 202
Salt Lake City, UT 84121

Call (801) 281-8433 Map

Fax (801) 281-8455

Mailing address

5872 S 900 E Ste 202
Salt Lake City, UT 84121-1682

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	7579281 (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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NPI record

NPI: 1700315462
Entity type: Organization (Type 2)
Issued: Jun 7, 2017
Last updated: Jul 21, 2022
Status: Active

Other names

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Nelson & Tillmann Family Dentistry, P.l.l.c. · doing business as
Nelson & Tillmann Family Dentistry, P.l.l.c. · doing business as

Authorized official

McLean Boddy
Office Manager
(801) 281-8433

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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.

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About NPI 1700315462

Nelson & Tillmann Family Dentistry, PC's National Provider Identifier is 1700315462, issued on Jun 7, 2017. 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 21, 2022.