Legacy Family Dental of Bountiful LLC
Legacy Family Dental of Bountiful LLC is a Health Maintenance Organization in Bountiful, Utah. Licensed in Utah. Registered with an NPI since 2010.
- Licensed in
- UT
- In the registry since
- 2010
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
55 E 2200 SBountiful, UT 84010-5619
Phone: (801) 295-5115
Fax: (801) 397-5559
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Maintenance Organization (primary) | Taxonomy 302R00000X · Licence 75313980160 (UT) |
|---|
Record details
| NPI number | 1275859589 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kase Peery — Owner/Managing Member · (801) 870-0838 |
| NPI enumerated | April 12, 2010 |
| Last updated in NPPES | April 12, 2010 |
| Mailing address | 55 E 2200 S, Bountiful, UT 84010-5619 |