Gregory Sansom is a Dentist in Salt Lake City, Utah. Gregory Sansom practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gregory Sansom is 1548481997. The last update date is 2007-07-08.
Gregory Sansom's current location address is 2036 S 1300 E Ste A, Salt Lake City, Utah. You can contact this provider via phone number 8014676381. The mailing address for Gregory Sansom is 2036 S 1300 E Ste A, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Sansom |
|---|---|
| Address | 2036 S 1300 E Ste A, Salt Lake City, Utah |
| Phone Number | 8014676381 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1548481997 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2036 S 1300 E Ste A |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841053692 |
| Phone Number | 8014676381 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 143240-9921 |
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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 assigned to Gregory Sansom by the Centers for Medicare & Medicaid Services?
The Gregory Sansom has been issued the NPI (National Provider Identifier) 1548481997 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Gregory Sansom is physically located?
The Gregory Sansom is situated at the following address: 2036 S 1300 E Ste A, Salt Lake City, UT 841053692.
What is Gregory Sansom's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gregory Sansom's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1548481997 to Gregory Sansom?
The Centers for Medicare & Medicaid Services originally issued the 1548481997 to Gregory Sansom on 2007-05-02.
When was the information regarding Gregory Sansom, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gregory Sansom, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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