Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Harley Jo Whitesides

Individual provider General Practice Dentistry · NPI 1124917695

Harley Jo Whitesides is a General Practice Dentistry in Stansbury Park, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2025

Practice location Address checks out

576 E Highway 138 Ste 200
Stansbury Park, UT 84074-4028
Phone: (435) 728-0550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 14226474-9926 (UT)

Record details

NPI number1124917695
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 30, 2025
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing address67 N Terrace Dr, Clearfield, UT 84015-2235

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