Provider Demographics
NPI:1033848080
Name:ARMEL, BRIANNA LINN (DDS)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:LINN
Last Name:ARMEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4584 W TRINITY AVE
Mailing Address - Street 2:
Mailing Address - City:WEST VALLEY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84120-5913
Mailing Address - Country:US
Mailing Address - Phone:814-806-0328
Mailing Address - Fax:
Practice Address - Street 1:7632 S CAMPUS VIEW DR STE 150
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84084-5545
Practice Address - Country:US
Practice Address - Phone:801-282-4142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12880083-9921122300000X
UT12880083-9922122300000X
UT12880083-8903122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist