Organization · Type 2 NPI
Over the Road Dental
General Practice Dentistry · Salt Lake City, UT
NPI number
1912014234
Active
Practice location
1953 W. California Ave
Salt Lake City, UT 84104
Fax (801) 886-1786
Mailing address
PO Box 271069
Salt Lake City, UT 84127-1069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 143681-9922 (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 1912014234
Over the Road Dental's National Provider Identifier is 1912014234, issued on Aug 23, 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 Aug 22, 2020.