Provider Demographics
NPI:1972776953
Name:EMERGENCY DENTAL CENTERS OF UTAH
Entity type:Organization
Organization Name:EMERGENCY DENTAL CENTERS OF UTAH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENT
Authorized Official - Middle Name:S
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-957-0911
Mailing Address - Street 1:2816 W 3500 S
Mailing Address - Street 2:
Mailing Address - City:WEST VALLEY
Mailing Address - State:UT
Mailing Address - Zip Code:84119-3628
Mailing Address - Country:US
Mailing Address - Phone:801-957-0911
Mailing Address - Fax:801-957-1911
Practice Address - Street 1:2816 W 3500 S
Practice Address - Street 2:
Practice Address - City:WEST VALLEYK
Practice Address - State:UT
Practice Address - Zip Code:84119
Practice Address - Country:US
Practice Address - Phone:801-957-0911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental