MEDICARE: DR. SARAH B NAISBITT D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	7150648-9922	UT

General Provider Information

NPI Number	:	1497730022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH B NAISBITT D.D.S.

Provider Business Mailing Address
First Line	:	5481 W 7800 S STE 140
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84081-6029
Country	:	US
Telephone Number	:	801-968-1142
Fax Number	:	801-968-0408

Provider Business Practice Location Address
First Line	:	5481 W 7800 S STE 140
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84081-6029
Country	:	US
Telephone Number	:	801-968-1142
Fax Number	:	801-968-0408

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	11/16/2023

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