Healthcare Provider Details

I. General information

NPI: 1548093131
Provider Name (Legal Business Name): MCKAY ARTHUR LEWIS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2024
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

946 E DRAPER PKWY
DRAPER UT
84020-9778
US

IV. Provider business mailing address

10281 S ASHLEY MESA LN
SANDY UT
84092-6117
US

V. Phone/Fax

Practice location:
  • Phone: 801-553-2521
  • Fax:
Mailing address:
  • Phone: 808-375-6734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number14289410-9926
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: