Provider Demographics
NPI:1902228307
Name:NAISBITT FAMILY DENTISTRY, P.C.
Entity Type:Organization
Organization Name:NAISBITT FAMILY DENTISTRY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:NAI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:801-968-1142
Mailing Address - Street 1:2860 W 4700 S
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84129-2157
Mailing Address - Country:US
Mailing Address - Phone:801-968-1142
Mailing Address - Fax:801-968-0408
Practice Address - Street 1:2860 W 4700 S
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84129-2157
Practice Address - Country:US
Practice Address - Phone:801-968-1142
Practice Address - Fax:801-968-0408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-20
Last Update Date:2014-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7150648-99221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty