Organization
MACKAY DENTAL AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNDON C. MACKAY D.D.S. (PRESIDENT)
(801) 969-3025
Entity
Organization
Contact information
Practice address
3550 S 4800 W, SUITE J, WEST VALLEY CITY, UT 84120-2966
(801) 969-3025
(801) 969-6115
Mailing address
3550 S 4800 W, SUITE J, WEST VALLEY CITY, UT 84120-2966
(801) 969-3025
(801) 969-6115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
134443
UT
1223G0001X
General Practice Dentistry
5331693
UT
1223G0001X
General Practice Dentistry
5923241
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1990
PEHP DR LYNDON MACKAY
UT
05
—
529271638001
—
UT
05
—
529557774001
—
UT
05
—
529588149009
—
UT
01
—
73439
PEHP DR DAVID MACKAY
UT
01
—
83693
PEHP DR DEMILLE
UT
Enumeration date
06/19/2006
Last updated
08/22/2020
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