Izzy Inc. in Salt Lake City - Dentist

Izzy Inc. - NPI 1114190659

Izzy Inc. is a Dentist in Salt Lake City, Utah. Izzy Inc. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Izzy Inc. is 1114190659. The last update date is 2008-07-24.

Izzy Inc.'s current location address is 530 E 500 S, Salt Lake City, Utah. You can contact this provider via phone number 8017478000 and fax number 8017478001. The mailing address for Izzy Inc. is 530 E 500 S, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Izzy Inc.
Address 530 E 500 S, Salt Lake City, Utah
Phone Number 8017478000
Fax Number 8017478001
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Mccutchan Marie Christie
Telephone Number 8017478012

NPI Number Detail

NPI Number 1114190659
Provider Enumeration Date 2008-04-04
Last Updated Date 2008-07-24

Provider Mailing Address Detail

Address 530 E 500 S
City Salt Lake City
State Utah (UT)
Post Code 84102
Phone Number 8017478000
Fax Number 8017478001

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
22824566005 UT --
5295997150001 UT --
1114118601 UT --
278683018001 UT --

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FAQs about Izzy Inc.

What is the unique provider identifier assigned to Izzy Inc.?

The Izzy Inc. has been issued the NPI (National Provider Identifier) 1114190659 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Izzy Inc. is geographically located?

The Izzy Inc. is physically situated at the following location: 530 E 500 S, Salt Lake City, UT, 84102.

What is Izzy Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?

The Izzy Inc.'s area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1114190659 to Izzy Inc.?

The Centers for Medicare & Medicaid Services originally issued the 1114190659 to Izzy Inc. on 2008-04-04.

As of what date were the details pertaining to Izzy Inc. last refreshed?

The information related to the Izzy Inc., including its address, specialty, and other relevant details, was last updated on 2008-07-24.

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