MEDICARE: UTAH ORTHODONTIC CARE,P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	346388-9921	UT

General Provider Information

NPI Number	:	1073735619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UTAH ORTHODONTIC CARE,P.C.

Provider Business Mailing Address
First Line	:	1140 BRICKYARD RD
Second Line	:	#32B
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-2565
Country	:	US
Telephone Number	:	801-474-9552
Fax Number	:	801-474-9558

Provider Business Practice Location Address
First Line	:	1140 BRICKYARD RD
Second Line	:	#32B
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-2565
Country	:	US
Telephone Number	:	801-474-9552
Fax Number	:	801-474-9558

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BRIAN T RANDLE
Credential	:
Telephone Number	:	801-474-9552

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1518053412 — BRIAN RANDLE DMD
Practice Location Address:

1140 BRICKYARD RD , 32B
SALT LAKE CITY, UT
84106-2565

Practice Phone: 801-474-9552
Practice Fax:

1134340698 — DR. JARED CRAIG JESPERSON DDS
Practice Location Address:

1140 BRICKYARD RD , #32B
SALT LAKE CITY, UT
84106-2565

Practice Phone: 801-474-9552
Practice Fax: 801-474-9558

1730472283 — MS. MARCI L PHILLIPS LCSW
Practice Location Address:

2565 WELLINGTON ST
SALT LAKE CITY, UT
84106-4009

Practice Phone: 801-467-2497
Practice Fax:

1023446317 — NICOLE EDWARDS
Practice Location Address:

1477 S 1300 E
SALT LAKE CITY, UT
84105-2565

Practice Phone: 801-213-5350
Practice Fax:

1891643987 — TDS JERSEY CITY HEIGHTS LLC
Practice Location Address:

741 SECAUCUS RD
JERSEY CITY, NJ
07307-2565

Practice Phone: 201-754-1100
Practice Fax:

1538931993 — NEUROMATTERS AND WELLNESS APNC
Practice Location Address:

914 E 8TH ST STE 210
NATIONAL CITY, CA
91950-2565

Practice Phone: 619-837-2560
Practice Fax: 619-786-3637

Directions to “UTAH ORTHODONTIC CARE,P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.