Bruce Park Loosli in Salt Lake City - Dentist
Bruce Park Loosli - NPI 1790978682
Bruce Park Loosli is a Dentist in Salt Lake City, Utah. Bruce Park Loosli practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bruce Park Loosli is 1790978682. The last update date is 2007-08-23.
Bruce Park Loosli's current location address is 3060 S Redwood Rd, Salt Lake City, Utah. You can contact this provider via phone number 8019720555 and fax number 8019720920. The mailing address for Bruce Park Loosli is 3060 S Redwood Rd, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Park Loosli |
|---|---|
| Address | 3060 S Redwood Rd, Salt Lake City, Utah |
| Phone Number | 8019720555 |
| Fax Number | 8019720920 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1790978682 |
|---|---|
| Provider Enumeration Date | 2007-08-23 |
| Last Updated Date | 2007-08-23 |
Provider Mailing Address Detail
| Address | 3060 S Redwood Rd |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841193058 |
| Phone Number | 8019720555 |
| Fax Number | 8019720920 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 145173-9922 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Bruce Park Loosli by the Centers for Medicare & Medicaid Services?
The Bruce Park Loosli has been assigned the NPI (National Provider Identifier) 1790978682 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Bruce Park Loosli is physically located?
The Bruce Park Loosli is physically situated at the following address: 3060 S Redwood Rd, Salt Lake City, UT, 841193058.
What is Bruce Park Loosli's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bruce Park Loosli's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
When did Bruce Park Loosli receive its 1790978682 assignment?
The Bruce Park Loosli was assigned its 1790978682 on 2007-08-23, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Bruce Park Loosli last refreshed?
The information related to the Bruce Park Loosli, including its address, specialty, and other relevant details, was last updated on 2007-08-23.
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