Sandra Miranda, Dental Hygienist
Dental Hygienist in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1982162657
StatusActive
Last updated in NPPESMar 12, 2019
Details
- NPI
- 1982162657
- Entity type
- Individual (NPI-1)
- Name
- Sandra Miranda
- Credential
- Dental Hygienist
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 12, 2019
- Last updated
- Mar 12, 2019
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 |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 6781179-0701 | UT | Yes |
Practice location
1388 S Navajo StSalt Lake City, UT 84104-3493
Phone 019-552-3608 · Fax 801-746-0420
Mailing address
2621 S 3270 WWest Valley City, UT 84119-1119
Phone 385-261-2737 · Fax 017-460-4208
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 7 Dental Hygienist providers in Salt Lake City · All 24,510 providers in Salt Lake City
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