institution
Sugar House Dental Management Llc
Preferred Provider Organization in Salt Lake City, Utah
NPI 1578928172

Sugar House Dental Management Llc is a Preferred Provider Organization based in Salt Lake City, UT. Sugar House Dental Management Llc practices in Salt Lake City, UT. The NPI Number for Sugar House Dental Management Llc is 1578928172 and holds a License No. (Utah).

The current practice location address for Sugar House Dental Management Llc is 1955 S 1300 E Ste L2, Salt Lake City, UT and can be reached out via phone at 801-486-9649 and via fax at 801-486-9640.

Location: 1955 S 1300 E Ste L2, Salt Lake City, UT, 84105-3675
institution
Provider Profile Details
NPI Number
1578928172
Provider Name
Sugar House Dental Management Llc
Credential
Provider Entity Type
Organization
Address
1955 S 1300 E Ste L2, Salt Lake City, UT, 84105-3675
Phone Number
801-486-9649
Fax Number
801-486-9640
Provider Enumeration Date
12/23/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1700897428 01 UT NPI
1023423258 01 UT NPI
institution
Provider Business Practice Location Address Details
Address
1955 S 1300 E Ste L2
City
State
Zip
84105-3675
Phone Number
801-486-9649
Fax Number
801-486-9640
person
Provider Business Mailing Address Details
Address
1955 S 1300 E Ste L2
City
State
Zip
84105-3675
Phone Number
801-486-9649
Fax Number
801-486-9640
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
9361973 (Utah)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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Provider's Taxonomy Details 2
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
License No.
()
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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