1306380084 NPI number — PONY EXPRESS DENTAL OF DRAPER, LLC

Table of content: (NPI 1306380084)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306380084 NPI number — PONY EXPRESS DENTAL OF DRAPER, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PONY EXPRESS DENTAL OF DRAPER, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306380084
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/14/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
219 E 12300 S
Provider Second Line Business Mailing Address:
SUITE I-5
Provider Business Mailing Address City Name:
DRAPER
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84020-6970
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-495-4440
Provider Business Mailing Address Fax Number:
801-495-4442

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
219 E 12300 S
Provider Second Line Business Practice Location Address:
SUITE I-5
Provider Business Practice Location Address City Name:
DRAPER
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84020-6970
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-495-4440
Provider Business Practice Location Address Fax Number:
801-495-4442
Provider Enumeration Date:
12/14/2016

Additional Information

Authorized Official

Authorized Official Last Name:
TORNOW
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
S
Authorized Official Title or Position:
DENTIST OWNER
Authorized Official Telephone Number:
505-947-4253

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X , with the licence number:  5015649-9923 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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