Boyd Kent Bladen in West Jordan - Dentist

Boyd Kent Bladen - NPI 1255395513

Boyd Kent Bladen is a Dentist in West Jordan, Utah. Boyd Kent Bladen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Boyd Kent Bladen is 1255395513. The last update date is 2007-07-08.

Boyd Kent Bladen's current location address is 1662 West 9000 South, West Jordan, Utah. You can contact this provider via phone number 8012556581 and fax number 8015625395. The mailing address for Boyd Kent Bladen is 1662 West 9000 South, West Jordan, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Boyd Kent Bladen
Address 1662 West 9000 South, West Jordan, Utah
Phone Number 8012556581
Fax Number 8015625395
Sole Proprietor X
Credentials DDS

NPI Number Detail

NPI Number 1255395513
Provider Enumeration Date 2006-04-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1662 West 9000 South
City West Jordan
State Utah (UT)
Post Code 84088
Phone Number 8012556581
Fax Number 8015625395

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 140554
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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FAQs about Boyd Kent Bladen

What is the unique identifier code issued to Boyd Kent Bladen by the Centers for Medicare & Medicaid Services (CMS)?

The Boyd Kent Bladen has been assigned the NPI (National Provider Identifier) 1255395513. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Boyd Kent Bladen is physically located?

The Boyd Kent Bladen is situated at the following address: 1662 West 9000 South, West Jordan, UT 84088.

What is Boyd Kent Bladen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Boyd Kent Bladen is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.

On what date did the Boyd Kent Bladen receive its 1255395513 assignment from the Centers for Medicare & Medicaid Services?

The Boyd Kent Bladen was assigned its 1255395513 by the Centers for Medicare & Medicaid Services on 2006-04-13.

When was the Boyd Kent Bladen's information last updated?

The Boyd Kent Bladen's information was last updated on 2007-07-08.

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