NPI 1063742492 · live from the CMS NPI Registry
Apex Family & Cosmetic Dentistry
Dentist, General Practice in Riverton, UT. National Provider Identifier 1063742492, active.
NPI record
| NPI | 1063742492 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 12391 S 4000 W, Suite 206, Riverton, UT 84096 |
| Practice phone | 801-748-0379 |
| Enumerated | January 7, 2010 |
| Last updated | January 7, 2010 |
| Authorized official | Tracie Sullivan, Financial Manager |
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.