The Center Of Dental Professionals

LBN: Izzy Inc.
The Center Of Dental Professionals is an health care organization with primary practice located at 530 E 500 S , Salt Lake City UT 84102. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Izzy Inc. can be contacted via phone (801) 747-8000, or through Mccutchan, Christie Marie via phone (801) 747-8012.

Contact Information

Primary practice address
530 E 500 S Salt Lake City UT 84102
Phone: (801) 747-8000
Fax: (801) 747-8001
Website:
Map and Directions
Authorized official contact:
Name: Mccutchan, Christie Marie
Phone: (801) 747-8012

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1114190659
LBN Legal business name Izzy Inc.
DBA Doing business as The Center Of Dental Professionals
Authorized official Mccutchan, Christie Marie
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 4th, 2008
Last updated Jul 24th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114190659 NPPES
Utah MEDICAID 022824566005
Utah MEDICAID 5295997150001
Utah MEDICAID 1114118601
Utah MEDICAID 278683018001

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