NPI 1184840779 · live from the CMS NPI Registry
Thomas N Austad, D.D.S.
Dentist, General Practice in Clinton, UT. National Provider Identifier 1184840779, active.
NPI record
| NPI | 1184840779 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 1737 N 2000 W, Suite G, Clinton, UT 84015 |
| Practice phone | 801-728-9000 |
| Mailing address | 134 N 3300 W, Layton, UT 84041 |
| Enumerated | April 18, 2007 |
| Last updated | January 14, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 6246038 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.