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General NPI Number Information
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NPI Number | 1518837376
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Entity Type | Organization
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Legal Business Name | TEMPLE HILL ORTHODONTIC SERVICES PLLC
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 4317 N PONY EXPRESS PKWY STE 210
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City | EAGLE MOUNTAIN
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State | UT
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Zip | 84005-1230
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Country | US
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Telephone | 801-762-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 4317 N PONY EXPRESS PKWY STE 210
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City | EAGLE MOUNTAIN
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State | UT
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Zip | 84005-1230
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Country | US
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Telephone | 801-762-6400
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Fax |
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | STEPHEN MICHAEL WHITE
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Credential | DDS, MSD
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Telephone | 970-889-9396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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