Central Fossa LLC

Dentist · Sandy, UT

Organization Active NPI

NPI number 1225470909

Practice location

7369 Creek Road
Sandy, UT 84121
Phone
(801) 566-5577
Fax
(801) 566-4848

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NPI record

NPI
1225470909
Entity type
Organization (Type 2)
Enumeration date
July 23, 2013
Last updated
July 23, 2013
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 8628346 UT

Authorized official

Name
Amy E. Florance Dethorn, DMD
Title
Owner
Phone
(801) 566-5577

Other names

  • Creek Road Dental Care

About Central Fossa LLC

Central Fossa LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 7369 Creek Road, Sandy, UT 84121. The NPI number 1225470909 was assigned on July 23, 2013 and the record was last updated on July 23, 2013.

Central Fossa LLC lists a license in the registry: #8628346 (UT) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Amy E. Florance Dethorn, DMD, Owner.

Frequently asked questions

What is the NPI number of Central Fossa LLC?

The NPI number is 1225470909.

What is the phone number of Central Fossa LLC?

The phone number listed for the practice location is (801) 566-5577.

Where is Central Fossa LLC located?

7369 Creek Road, Sandy, UT 84121.

What is the taxonomy code for Central Fossa LLC?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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