CLW DDS PLLC
Dentist · Eden, UT
Practice location
2640 N Highway 162Eden, UT 84310-9745
- Phone
- (801) 745-1100
NPI record
- NPI
- 1871626630
- Entity type
- Organization (Type 2)
- Enumeration date
- March 13, 2007
- Last updated
- November 6, 2014
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
8926074-9922 | UT |
Mailing address
PO Box 805Eden, UT 84310-0805
Authorized official
- Name
- Chad Wagstaff, DDS
- Title
- President
- Phone
- (801) 745-1100
About CLW DDS PLLC
CLW DDS PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2640 N Highway 162, Eden, UT 84310-9745. The NPI number 1871626630 was assigned on March 13, 2007 and the record was last updated on November 6, 2014.
CLW DDS PLLC lists a license in the registry: #8926074-9922 (UT) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Chad Wagstaff, DDS, President.
Frequently asked questions
What is the NPI number of CLW DDS PLLC?
The NPI number is 1871626630.
What is the phone number of CLW DDS PLLC?
The phone number listed for the practice location is (801) 745-1100.
Where is CLW DDS PLLC located?
2640 N Highway 162, Eden, UT 84310-9745.
What is the taxonomy code for CLW DDS PLLC?
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.
Other Dentist providers in Eden
- Ashley A. Burton, DDS2627 N Highway 162
- Brigham Kenneth Burton, D.D.S.2627 N Highway 162