Adventure Dental
Dentist, Pediatric Dentistry in Draper, UT. Organization (NPI-2).
NPI number1790793776
StatusActive
Last updated in NPPESJun 16, 2008
Details
- NPI
- 1790793776
- Entity type
- Organization (NPI-2)
- Legal business name
- Adventure Dental
- Organization subpart
- No
- Enumeration date
- Aug 4, 2006
- Last updated
- Jun 16, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 5832460 | UT | Yes |
| 1223P0221X | Dentist, Pediatric Dentistry | 342300 | UT |
Other names
- Hidden Valley Pediatric Dental (Doing Business As)
Practice location
114 E 12450 SSuite 200
Draper, UT 84020
Phone 801-495-1610 · Fax 801-495-1631
Mailing address
Po Box 830Draper, UT 84020
Phone 801-495-1610 · Fax 801-495-1631
Authorized official
Annie C Huffman
Billing Manager
8014951610
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Other Pediatric Dentistry providers in Draper, UT
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- Out Of This World Dentistry PCNPI 1558760959
- Cory Morris Stark, D.D.S.NPI 1962592329
All 8 Pediatric Dentistry providers in Draper · All 2,337 providers in Draper
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