# BLUFFDALE DENTAL

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

## Provider details

- **NPI number:** 1982142824
- **Authorized official:** DAVID BABCOCK DMD (DENTIST)
- **Authorized official phone:** (801) 254-2626

## Contact information

- **Practice address:** 14100 S REDWOOD RD, BLUFFDALE, UT 84065-5204
- **Practice address phone:** (801) 254-2626
- **Practice address fax:** (801) 849-1444
- **Mailing address:** 14100 S REDWOOD RD, BLUFFDALE, UT 84065-5204
- **Mailing address phone:** (801) 254-2626
- **Mailing address fax:** (801) 849-1444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 5483941 | UT | Yes |

## Other

- **Enumeration date:** 02/10/2017
- **Last updated:** 02/10/2017