Organization
SILVER SUMMIT DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG LANEY (PRESIDENT)
(801) 542-0998
Entity
Organization
Contact information
Practice address
5734 W 13400 S, #1, HERRIMAN, UT 84096-6953
(801) 542-0998
Mailing address
5734 WEST 134000 SOUTH, #1, HERRIMAN, UT 84096-6953
(801) 542-0998
(385) 695-5933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1887
UT
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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