MEDICARE: DR. ADAM PEARSON MCLACHLAN DDS

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	122300000X	Dentist	6836356-9922	UT

General Provider Information

NPI Number	:	1326298035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAM PEARSON MCLACHLAN DDS

Provider Business Mailing Address
First Line	:	2043 E 2700 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84109-1720
Country	:	US
Telephone Number	:	801-201-5462
Fax Number	:

Provider Business Practice Location Address
First Line	:	2043 E 2700 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84109-1720
Country	:	US
Telephone Number	:	801-467-4874
Fax Number	:	801-466-9400

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2008
Last Update Date	:	05/05/2022

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