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NPI Code Detail

MEDICARE: DR. DEVIN MCCORMICK LINK D.D.S.

MEDICARE:  DR. DEVIN MCCORMICK LINK  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
11223G0001XGeneral Practice DentistryDR60024842WA
2122300000XDentist7411635-9921UT

General Provider Information

NPI Number : 1891944856
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEVIN MCCORMICK LINK D.D.S.
Provider Business Mailing Address
First Line : 220 W 7200 S
Second Line : SUITE A
City : MIDVALE
State : UT
Zip : 84047-1043
Country : US
Telephone Number : 801-858-3461
Fax Number : 801-955-2389
Provider Business Practice Location Address
First Line : 1365 W 1000 N
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84116-1654
Country : US
Telephone Number : 801-328-5750
Fax Number : 877-497-4661
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2008
Last Update Date : 09/01/2016

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Directions to “ DR. DEVIN MCCORMICK LINK D.D.S.” Practice Location

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