Provider Demographics
NPI:1558879080
Name:HEALTH CENTER OF UTAH
Entity Type:Organization
Organization Name:HEALTH CENTER OF UTAH
Other - Org Name:SLEEP AND WELLNESS CENTER OF UTAH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CORBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:801-473-6455
Mailing Address - Street 1:1305 N COMMERCE DR #200
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:UT
Mailing Address - Zip Code:84045
Mailing Address - Country:US
Mailing Address - Phone:801-766-4944
Mailing Address - Fax:801-768-0327
Practice Address - Street 1:1305 N COMMERCE DR #200
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:UT
Practice Address - Zip Code:84045
Practice Address - Country:US
Practice Address - Phone:801-766-4944
Practice Address - Fax:801-768-0327
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH CENTER OF UTAH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-18
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT372923125K00000X
UT514295-9922125K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes125K00000XDental ProvidersAdvanced Practice Dental TherapistGroup - Single Specialty