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Dr. Russell Lynn Boulton, DDS
General Practice Dentistry in Holladay, Utah
NPI 1770709511

Russell Lynn Boulton is a General Practice Dentistry based in Holladay, UT and is specialized in General Practice. Russell Lynn Boulton practices in Holladay, UT and has the professional credentials of DDS. The NPI Number for Russell Lynn Boulton is 1770709511 and holds a License No. 131570 (Utah).

The current practice location address for Russell Lynn Boulton is 2180 E 4500 S, Holladay, UT and can be reached out via phone at 801-277-9681.

Location: 2180 E 4500 S, Holladay, UT, 84117-4434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770709511
Provider Name
Russell Lynn Boulton
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2180 E 4500 S, Holladay, UT, 84117-4434
Phone Number
801-277-9681
Fax Number
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2180 E 4500 S
City
Holladay
State
Utah
Zip
84117-4434
Phone Number
801-277-9681
Fax Number
person
Provider Business Mailing Address Details
Address
2180 E 4500 S
City
Holladay
State
Utah
Zip
84117-4434
Phone Number
801-277-9681
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
131570 (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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