Provider Demographics
NPI:1689116014
Name:ARGYLE DENTAL, PC
Entity Type:Organization
Organization Name:ARGYLE DENTAL, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARGYLE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:801-774-0600
Mailing Address - Street 1:780 S 2000 W
Mailing Address - Street 2:SUITE E-301
Mailing Address - City:SYRACUSE
Mailing Address - State:UT
Mailing Address - Zip Code:84075-9602
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:780 S 2000 W
Practice Address - Street 2:SUITE E-301
Practice Address - City:SYRACUSE
Practice Address - State:UT
Practice Address - Zip Code:84075-9602
Practice Address - Country:US
Practice Address - Phone:801-774-0600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-16
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5915237-9922261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental