Healthcare Provider Details

I. General information

NPI: 1013849603
Provider Name (Legal Business Name): HAYLEY NIGBUR RDH, OMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7852 N COPPERBEND RD
EAGLE MOUNTAIN UT
84005-7214
US

IV. Provider business mailing address

7852 N COPPERBEND RD
EAGLE MOUNTAIN UT
84005-7214
US

V. Phone/Fax

Practice location:
  • Phone: 801-815-3577
  • Fax:
Mailing address:
  • Phone: 801-815-3577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number9428415-9920
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: