Healthcare Provider Details
I. General information
NPI: 1932015997
Provider Name (Legal Business Name): SARATOGA SPRINGS FAMILY DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
216 E UNIVERSITY PKWY
OREM UT
84058-7601
US
IV. Provider business mailing address
216 E UNIVERSITY PKWY
OREM UT
84058-7601
US
V. Phone/Fax
- Phone: 801-851-1020
- Fax:
- Phone: 801-851-1020
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRADY
SEFCIK
Title or Position: DENTIST
Credential: DDS
Phone: 801-400-4560