Provider Demographics
NPI:1336225366
Name:PEEL, BLYTHE ARRINGTON (DDS)
Entity Type:Individual
Prefix:MRS
First Name:BLYTHE
Middle Name:ARRINGTON
Last Name:PEEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:BLYTHE
Other - Middle Name:
Other - Last Name:ARRINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1440 W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-6158
Mailing Address - Country:US
Mailing Address - Phone:909-367-4012
Mailing Address - Fax:
Practice Address - Street 1:24 S. 500 W.
Practice Address - Street 2:SUITE D
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010
Practice Address - Country:US
Practice Address - Phone:801-296-1606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT62286631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice