Provider Demographics
NPI:1396019253
Name:HUTCHINGS FAMILY DENTISTRY PC
Entity Type:Organization
Organization Name:HUTCHINGS FAMILY DENTISTRY PC
Other - Org Name:HUTCHINGS FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:BRENT
Authorized Official - Last Name:HUTCHINGS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:801-363-1213
Mailing Address - Street 1:440 S 700 E STE 305
Mailing Address - Street 2:
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:
Practice Address - Street 1:440 S 700 E STE 305
Practice Address - Street 2:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-23
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4773273-99221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty