Provider Demographics
NPI:1780147975
Name:ESPLIN, NEAL CRAIG (DDS)
Entity type:Individual
Prefix:
First Name:NEAL
Middle Name:CRAIG
Last Name:ESPLIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2078 S 4300 W
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84401-9197
Mailing Address - Country:US
Mailing Address - Phone:801-885-4423
Mailing Address - Fax:
Practice Address - Street 1:4040 MIDLAND DR STE 1
Practice Address - Street 2:
Practice Address - City:ROY
Practice Address - State:UT
Practice Address - Zip Code:84067-9606
Practice Address - Country:US
Practice Address - Phone:801-317-4407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-13
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12254667-99241223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry