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General NPI Number Information
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NPI Number | 1215390885
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Entity Type | Organization
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Legal Business Name | SADLER ENDODONTICS PLLC
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Dates
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Enumeration Date | 04/01/2016
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Last Update Date | 04/01/2016
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Provider Practice Location Address
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Address Line | 6364 S HIGHLAND DR #200
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City | SALT LAKE CITY
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State | UT
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Zip | 84121-2117
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Country | US
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Telephone | 801-278-9505
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Fax | 801-272-0579
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Provider Business Mailing Address
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Address Line | 6364 S HIGHLAND DR #200
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City | SALT LAKE CITY
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State | UT
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Zip | 84121-2117
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Country | US
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Telephone | 801-278-9505
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Fax | 801-272-0579
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Authorized Official
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Title or Position | OWNER ENDODONTIST
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Name | DR. CHRISTOPHER JOHN SADLER
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Credential | D.D.S., M.S.
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Telephone | 801-278-9505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 8459338
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License Number State | UT
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