Provider Demographics
NPI:1558455527
Name:RIGBY, BRIAN D (DMD)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:D
Last Name:RIGBY
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 1:44 EAST 100 SOUTH
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CENTERVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84014
Mailing Address - Country:US
Mailing Address - Phone:801-295-6955
Mailing Address - Fax:801-292-4747
Practice Address - Street 1:44 EAST 100 SOUTH
Practice Address - Street 2:SUITE 100
Practice Address - City:CENTERVILLE
Practice Address - State:UT
Practice Address - Zip Code:84014
Practice Address - Country:US
Practice Address - Phone:801-295-6955
Practice Address - Fax:801-292-4747
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT145499122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist