Healthcare Provider Details

I. General information

NPI: 1346171279
Provider Name (Legal Business Name): CONNOR BOYD DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4565 W CEDAR HILLS DR
CEDAR HILLS UT
84062-8707
US

IV. Provider business mailing address

841 E 200 N
ALPINE UT
84004-1465
US

V. Phone/Fax

Practice location:
  • Phone: 801-756-9154
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number14289265-9926
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: