Healthcare Provider Details

I. General information

NPI: 1073777611
Provider Name (Legal Business Name): CHRISTOPHER JOHN SADLER D.D.S., M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2008
Last Update Date: 09/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6364 S HIGHLAND DR SUITE 200
SALT LAKE CITY UT
84121-2117
US

IV. Provider business mailing address

7958 S MEYER VISTA CV
COTTONWOOD HEIGHTS UT
84093-5405
US

V. Phone/Fax

Practice location:
  • Phone: 801-278-9505
  • Fax:
Mailing address:
  • Phone: 801-540-6154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number8459338-9922
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: