NPI 1003073511 · live from the CMS NPI Registry
Brad J Dawson, DMD
Dentist, Pediatric Dentistry in Layton, UT. National Provider Identifier 1003073511, active.
NPI record
| NPI | 1003073511 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Pediatric Dentistry 1223P0221X |
| Practice location | 1597 Woodland Park Dr Ste 200, Layton, UT 84041 |
| Practice phone | 801-544-1940 |
| Mailing address | 702 Barnhill Dr, Suite 4205, Indianapolis, IN 46202 |
| Enumerated | May 21, 2008 |
| Last updated | May 15, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 3493889922 (UT) |
| Dentist, Pediatric Dentistry primary | 1223P0221X | 3493889922 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.