# UNIVERSITY OF UTAH DENTAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY OF UTAH DENTAL SERVICES
- **Other names:** Univ. of Utah Hospital Otolaryngology-Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194119685
- **Legal business name:** UNIVERSITY OF UTAH DENTAL SERVICES
- **Authorized official:** SEAN MULVIHILL MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (801) 587-6336

## Contact information

- **Practice address:** 50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0100
- **Practice address phone:** (801) 581-2121
- **Mailing address:** PO BOX 413033, PO, SALT LAKE CITY, UT 84141-3033
- **Mailing address phone:** (801) 213-3900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YS0123X | Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/24/2015
- **Last updated:** 03/24/2015