Individual
DR. SCOTT M CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3080 PINEBROOK RD STE 2000, PARK CITY, UT 84098-5451
(801) 465-1810
(801) 465-1810
Mailing address
1010 E 2700 N, KAMAS, UT 84036-9654
(801) 362-5929
(435) 649-0654
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7526337-9922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806034600
—
ID
Enumeration date
08/29/2006
Last updated
01/18/2019
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