Lc Dental Care LLC
Dentist, General Practice in Salt Lake City, UT. Organization (NPI-2).
Details
- NPI
- 1477532471
- Entity type
- Organization (NPI-2)
- Legal business name
- Lc Dental Care LLC
- Organization subpart
- No
- Enumeration date
- Jan 10, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Old Farm Dental Care (Doing Business As)
Practice location
3970 S 700 ESuite 17
Salt Lake City, UT 84107-2191
Phone 801-288-1888 · Fax 801-288-1333
Mailing address
3970 S 700 ESuite 17
Salt Lake City, UT 84107-2191
Phone 801-288-1888 · Fax 801-288-1333
Authorized official
Lisa Delahunt
Owner/Manager
8012881888
Is something wrong?
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