Elevate Dental Partners
Dentist, General Practice in Sandy, UT. Organization (NPI-2).
NPI number1750151718
StatusActive
Last updated in NPPESJan 2, 2024
Details
- NPI
- 1750151718
- Entity type
- Organization (NPI-2)
- Legal business name
- Elevate Dental Partners
- Organization subpart
- No
- Enumeration date
- Jan 2, 2024
- Certification date
- Jan 2, 2024
- Last updated
- Jan 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 1223E0200X | Dentist, Endodontics | – | – |
Practice location
853 E 9400 SSandy, UT 84094-3655
Phone 801-572-5550 · Fax 801-523-6201
Mailing address
853 E 9400 SSandy, UT 84094-3655
Phone 801-572-5550 · Fax 801-523-6201
Authorized official
Daniel Masson
Owner/Dentist
8018977893
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