Organization
UT SPECIAL NEEDS DENTAL SERVICES, PLLC
Active
Other names
UT Special Needs Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE V DASCH (SR. DIRECTOR OF CREDENTIALING)
(504) 638-0303
Entity
Organization
Contact information
Practice address
530 E 500 S STE A, SALT LAKE CITY, UT 84102-2707
(615) 678-0759
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(615) 678-0759
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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