Smart Smiles Utah

LBN: Smart Smiles Utah
Smart Smiles Utah is an health care organization with primary practice located at 10597 S Beach Comber Way , South Jordan UT 84009-6132. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Smart Smiles Utah can be contacted via phone (801) 649-4222, or through Clark, Tanner M via phone (801) 649-4222.

Contact Information

Primary practice address
10597 S Beach Comber Way South Jordan UT 84009-6132
Phone: (801) 649-4222
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, Tanner M Doctor of Dental Medicine (DMD)
Phone: (801) 649-4222

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 9860439-9921 Utah

Profile Details

NPI number 1679055081
LBN Legal business name Smart Smiles Utah
DBA Doing business as
Authorized official Clark, Tanner M Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2018
Last updated Aug 31st, 2018 - about 8 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 1679055081 NPPES
Utah MEDICAID 9860439-9921

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