Organization
KENNETH G. BILLS D.D.S. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH GENE BILLS D.D.S. (CEO)
(801) 277-0090
Entity
Organization
Contact information
Practice address
2180 E 4500 S, SUITE 240, SALT LAKE CITY, UT 84117-4434
(801) 277-0090
(801) 277-0092
Mailing address
2180 E 4500 S, SUITE 240, SALT LAKE CITY, UT 84117-4434
(801) 277-0090
(801) 277-0092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
221387029922
UT
1223P0300X
Periodontics
221387029922
UT
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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