Provider Demographics
NPI:1164519476
Name:HUTCHINGS, MICHAEL BRENT (DMD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:BRENT
Last Name:HUTCHINGS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 S 700 E
Mailing Address - Street 2:SUITE 305
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84102-2800
Mailing Address - Country:US
Mailing Address - Phone:801-363-1213
Mailing Address - Fax:801-363-1213
Practice Address - Street 1:440 S 700 E
Practice Address - Street 2:SUITE 305
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-2800
Practice Address - Country:US
Practice Address - Phone:801-363-1213
Practice Address - Fax:801-363-1213
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4773273-99111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice