Provider Demographics
NPI:1427276351
Name:PAREDES, CESAR A (DMD)
Entity type:Individual
Prefix:DR
First Name:CESAR
Middle Name:A
Last Name:PAREDES
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7321 S STATE ST STE F
Mailing Address - Street 2:
Mailing Address - City:MIDVALE
Mailing Address - State:UT
Mailing Address - Zip Code:84047-2088
Mailing Address - Country:US
Mailing Address - Phone:801-563-5848
Mailing Address - Fax:801-563-5848
Practice Address - Street 1:7321 S STATE ST STE F
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-2088
Practice Address - Country:US
Practice Address - Phone:801-563-5848
Practice Address - Fax:801-563-5848
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT495144499211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT49514449900001OtherREGENCE BLUE CROSS BLUE S