NPI 1306475421 · live from the CMS NPI Registry
Anthony Edgar Acuna, DDS
Dentist in Draper, UT. National Provider Identifier 1306475421, active.
NPI record
| NPI | 1306475421 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 1442 E Draper Pkwy Ste G, Draper, UT 84020 |
| Practice phone | 801-571-9555 |
| Mailing address | 308 W North Temple Apt 332, Salt Lake City, UT 84103 |
| Enumerated | April 2, 2020 |
| Last updated | June 2, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Dentist primary | 122300000X | 11793599-9922 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.