Healthcare Provider Details

I. General information

NPI: 1851211841
Provider Name (Legal Business Name): MINHTHAO SPERRY DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1737 N 2000 W STE G
CLINTON UT
84015-8215
US

IV. Provider business mailing address

1737 N 2000 W STE G
CLINTON UT
84015-8215
US

V. Phone/Fax

Practice location:
  • Phone: 801-728-9000
  • Fax:
Mailing address:
  • Phone: 801-728-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number14293532-9926
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: