Provider Demographics
NPI:1558597492
Name:TURNER, KENT S (DDS)
Entity Type:Individual
Prefix:DR
First Name:KENT
Middle Name:S
Last Name:TURNER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2816 W 3500 S
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84119-3628
Mailing Address - Country:US
Mailing Address - Phone:801-957-0911
Mailing Address - Fax:801-957-1911
Practice Address - Street 1:2816 W 3500 S
Practice Address - Street 2:
Practice Address - City:WEST VALLEY CITY
Practice Address - State:UT
Practice Address - Zip Code:84119-3628
Practice Address - Country:US
Practice Address - Phone:801-957-0911
Practice Address - Fax:801-957-1911
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-05
Last Update Date:2009-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT133824-99221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice