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The Tooth Doctor
Preferred Provider Organization in Salt Lake City, Utah
NPI 1316172596

The Tooth Doctor is a Preferred Provider Organization based in Salt Lake City, UT. The Tooth Doctor practices in Salt Lake City, UT. The NPI Number for The Tooth Doctor is 1316172596 and holds a License No. 1395529922 (Utah).

The current practice location address for The Tooth Doctor is 2180 E Fort Union Blvd., Salt Lake City, UT and can be reached out via phone at 801-944-4141 and via fax at 801-944-6377.

Location: 2180 E Fort Union Blvd., Salt Lake City, UT, 84121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316172596
Provider Name
The Tooth Doctor
Credential
Provider Entity Type
Organization
Address
2180 E Fort Union Blvd., Salt Lake City, UT, 84121
Phone Number
801-944-4141
Fax Number
801-944-6377
Provider Enumeration Date
05/18/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2180 E Fort Union Blvd.
City
Salt Lake City
State
Utah
Zip
84121
Phone Number
801-944-4141
Fax Number
801-944-6377
person
Provider Business Mailing Address Details
Address
2180 E Fort Union Blvd.
City
Salt Lake City
State
Utah
Zip
84121
Phone Number
801-944-4141
Fax Number
801-944-6377
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
1395529922 (Utah)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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