NPI 1770526873 · live from the CMS NPI Registry
Arbuckle Dental PC
Clinic/Center, Dental in Centerville, UT. National Provider Identifier 1770526873, active.
NPI record
| NPI | 1770526873 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Dental 261QD0000X |
| Practice location | 281 S Main St, Centerville, UT 84014 |
| Practice phone | 801-292-0733 |
| Mailing address | Po Box 1088, Centerville, UT 84014 |
| Enumerated | June 14, 2006 |
| Last updated | October 25, 2021 |
| Authorized official | Kent Arbuckle, President |
| Other names | Arbuckle Dental |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice | 1223G0001X | — |
| Clinic/Center, Dental primary | 261QD0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.