# CREED S HAYMOND DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831339829
- **Authorized official:** DR. CREED S HAYMOND DDS (OWNER)
- **Authorized official phone:** (801) 576-0077

## Contact information

- **Practice address:** 1434 E 9400 SOUTH, SUITE 102, SANDY, UT 84093
- **Practice address phone:** (801) 576-0077
- **Practice address fax:** (801) 495-1837
- **Mailing address:** 1434 EAST 9400 SO, SUITE 102, SANDY, UT 84093
- **Mailing address phone:** (801) 576-0077
- **Mailing address fax:** (801) 495-1837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 145378 | UT | Yes |

## Other

- **Enumeration date:** 03/03/2009
- **Last updated:** 03/06/2009