Provider Demographics
NPI:1023036969
Name:SCOTT P DAYNES DDS
Entity Type:Organization
Organization Name:SCOTT P DAYNES DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:P
Authorized Official - Last Name:DAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:801-268-2323
Mailing Address - Street 1:463 MURRAY BLVD
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84123-4690
Mailing Address - Country:US
Mailing Address - Phone:801-268-2323
Mailing Address - Fax:
Practice Address - Street 1:463 MURRAY BLVD
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84123-4690
Practice Address - Country:US
Practice Address - Phone:801-268-2323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1363141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty