Organization
CREEK ROAD ORTHODONTICS AND PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARNEY TODD OLSEN D.D.S., M.S. (DENTIST/OWNER)
(801) 562-5505
Entity
Organization
Contact information
Practice address
7410 CREEK RD, SUITE #200, SANDY, UT 84093-6140
(801) 562-5505
Mailing address
7410 CREEK RD, SUITE #200, SANDY, UT 84093-6140
(801) 562-5505
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
76505
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
76505
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528962557001
—
UT
Enumeration date
11/17/2011
Last updated
11/17/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us