NPI 1043989510 · live from the CMS NPI Registry
Shaylee Avery, DDS
Dentist, General Practice in Salt Lake City, UT. National Provider Identifier 1043989510, active.
NPI record
| NPI | 1043989510 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 168 N 1950 W, Salt Lake City, UT 84116 |
| Practice phone | 801-587-6453 |
| Mailing address | 1112 E Eagle Ridge Cir, Sandy, UT 84094 |
| Enumerated | September 8, 2021 |
| Last updated | July 11, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 123198149923 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.