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NPI Code Detail

MEDICARE: SETH SPANGLER

MEDICARE:   SETH  SPANGLER
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
11223G0001XGeneral Practice Dentistry5357672-9922UT

General Provider Information

NPI Number : 1487675849
Entity Type Code : Individual
Provider Name (Legal Business Name) : SETH SPANGLER
Provider Business Mailing Address
First Line : 7086 HIGHLAND DR STE 100
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121-3768
Country : US
Telephone Number : 801-942-5520
Fax Number :
Provider Business Practice Location Address
First Line : 7086 HIGHLAND DR STE 100
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121-3768
Country : US
Telephone Number : 801-942-5520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 07/08/2007

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Directions to “ SETH SPANGLER ” Practice Location

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