Organization
STUBBS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID D STUBBS DDS (DENTIST/OWNER)
(801) 390-0701
Entity
Organization
Contact information
Practice address
3383 ORCHARD DR, BOUNTIFUL, UT 84010-8005
(801) 813-0044
(801) 813-0046
Mailing address
3383 N. ORCHARD DR., NORTH SALT LAKE, UT 84010
(801) 813-0044
(801) 813-0046
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8260809
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588995377
PERSONAL NPI
UT
Enumeration date
05/14/2014
Last updated
05/14/2014
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