Provider Demographics
NPI:1922120161
Name:NEIL J DANSIE DDS PC
Entity Type:Organization
Organization Name:NEIL J DANSIE DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:JED
Authorized Official - Last Name:DANSIE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:801-465-3100
Mailing Address - Street 1:675 S 100 W
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PAYSON
Mailing Address - State:UT
Mailing Address - Zip Code:84651-2883
Mailing Address - Country:US
Mailing Address - Phone:801-465-3100
Mailing Address - Fax:801-465-5130
Practice Address - Street 1:675 S 100 W
Practice Address - Street 2:SUITE 2
Practice Address - City:PAYSON
Practice Address - State:UT
Practice Address - Zip Code:84651-2883
Practice Address - Country:US
Practice Address - Phone:801-465-3100
Practice Address - Fax:801-465-5130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9734103299221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty