NPI 1053734384 · live from the CMS NPI Registry
Access Professional Dental Care,LLC
Dentist, General Practice in West Valley, UT. National Provider Identifier 1053734384, active.
NPI record
| NPI | 1053734384 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 4577 S 4000 W, West Valley, UT 84120 |
| Practice phone | 801-966-0900 |
| Mailing address | 8890 Cal Center Dr, Sacramento, CA 95826 |
| Enumerated | January 22, 2014 |
| Last updated | September 10, 2014 |
| Authorized official | Lorri Detrick, Chief Operating Officer |
| Other names | Blue Hills Dental |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.