Individual
DR. SAMUEL BLACKHAM BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2964 W 4700 S STE 103, TAYLORSVILLE, UT 84129-2558
(801) 417-8080
(801) 417-8090
Mailing address
31 LAKE RIDGE DR, KAYSVILLE, UT 84037-9655
(801) 259-6988
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7693653-9922
UT
Other
Enumeration date
04/06/2012
Last updated
05/16/2023
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