Provider Demographics
NPI:1538456306
Name:ASAY DENTAL
Entity Type:Organization
Organization Name:ASAY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:WHITTLE
Authorized Official - Last Name:ASAY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:801-489-9494
Mailing Address - Street 1:330 E 400 S STE 3
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84663-2083
Mailing Address - Country:US
Mailing Address - Phone:801-489-9494
Mailing Address - Fax:801-489-8678
Practice Address - Street 1:330 E 400 S STE 3
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:UT
Practice Address - Zip Code:84663-2083
Practice Address - Country:US
Practice Address - Phone:801-489-9494
Practice Address - Fax:801-489-8678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5861231122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty