Organization
SCOTT D URBAN DMD MD PC
Active
Other names
Utah Facial Surgical Arts
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE SMITH (OFFICE MANAGER)
(801) 282-5363
Entity
Organization
Contact information
Practice address
7611 JORDAN LANDING BLVD, SUITE 102, WEST JORDAN, UT 84084-5610
(801) 282-5363
(801) 282-5360
Mailing address
7611 JORDAN LANDING BLVD, SUITE 102, WEST JORDAN, UT 84084-5610
(801) 282-5363
(801) 282-5360
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5315516
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528912530001
—
UT
Enumeration date
11/07/2007
Last updated
04/15/2008
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