Organization
UTAH DENTAL HEALTH PROFESSIONALS, P.C.
Active
Parent organization
HEARTLAND DENTAL
Other names
Boulder Corridor Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND DENTAL
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
14723 S MARKETPLACE DR, STE B, HERRIMAN, UT 84096-3361
(385) 340-7505
(385) 340-7487
Mailing address
14723 S MARKETPLACE DR, STE B, HERRIMAN, UT 84096-3361
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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