MEDICARE: DR. EMILY ELIZABETH STUTZ DMD

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	142915199926	UT

General Provider Information

NPI Number	:	1326972886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILY ELIZABETH STUTZ DMD

Provider Business Mailing Address
First Line	:	11096 S SHILLING AVE APT 2396
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84095-4280
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8159 S 4800 W
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84088-4703
Country	:	US
Telephone Number	:	801-613-1816
Fax Number	:

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

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

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