Individual
DR. SHAYLEE AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
168 N 1950 W, SALT LAKE CITY, UT 84116-3098
(801) 587-6453
Mailing address
1112 E EAGLE RIDGE CIR, SANDY, UT 84094-7313
(801) 660-9488
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
123198149923
UT
Other
Enumeration date
09/08/2021
Last updated
07/11/2022
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