| Blue Hills Dental | |
|
4577 S 4000 W West Valley UT 84120-6222 | |
| (801) 966-0900 | |
| (801) 966-5046 |
| Full Name | Blue Hills Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4577 S 4000 W, West Valley, Utah |
| Authorized Official Name and Position | Lorri Detrick (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9165636002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Hills Dental 8890 Cal Center Dr Sacramento CA 95826-3200 Ph: (916) 922-5000 | Blue Hills Dental 4577 S 4000 W West Valley UT 84120-6222 Ph: (801) 966-0900 |
| NPI Number | 1053734384 |
|---|---|
| Provider Enumeration Date | 01/22/2014 |
| Last Update Date | 09/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053734384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Utah) | Primary |
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