Individual
SAMUEL BYBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13686 S REDWOOD RD, RIVERTON, UT 84065-5905
(503) 409-5810
Mailing address
1653 OLYMPIA CT NW, SALEM, OR 97304-2094
(503) 409-5810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14283275-9926
UT
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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