Individual
DR. SCOTT PAUL COLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4546 S ATHERTON DR STE 201, SALT LAKE CITY, UT 84123-6968
(801) 965-9898
(801) 965-6194
Mailing address
4546 S ATHERTON DR STE 201, SALT LAKE CITY, UT 84123-6968
(801) 965-9898
(801) 965-6194
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5329217-9922
UT
1223G0001X
General Practice Dentistry
5329217-9922
UT
332B00000X
Durable Medical Equipment & Medical Supplies
5329217-9922
UT
332BC3200X
Customized Equipment (DME)
5329217-9922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1666632
UNITED CONCORDIA ID
UT
01
—
5329217990001
BLUECROSS ID NUMBER
UT
Enumeration date
06/22/2006
Last updated
12/07/2018
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