Healthcare Provider Details

I. General information

NPI: 1326972886
Provider Name (Legal Business Name): EMILY ELIZABETH STUTZ DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8159 S 4800 W
WEST JORDAN UT
84088-4703
US

IV. Provider business mailing address

11096 S SHILLING AVE APT 2396
SOUTH JORDAN UT
84095-4280
US

V. Phone/Fax

Practice location:
  • Phone: 801-613-1816
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number142915199926
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: