Organization
ACCESSIBLE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORTNEY HUMPHREY RDH (CO-OWNER)
(801) 916-0200
Entity
Organization
Contact information
Practice address
1236 E CEDAR RIDGE RD, SANDY, UT 84094-5603
(801) 572-5552
Mailing address
1236 E CEDAR RIDGE RD, SANDY, UT 84094-5603
(801) 572-5552
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225327281
NPI
—
01
—
1699902106
NPI
—
01
—
1902034119
NPI
—
Enumeration date
11/01/2019
Last updated
11/01/2019
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