MEDICARE: DR. RHET A SCHERSCHLIGT D.D.S

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	378380	UT

General Provider Information

NPI Number	:	1851322101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RHET A SCHERSCHLIGT D.D.S

Provider Business Mailing Address
First Line	:	3098 HIGHLAND DR
Second Line	:	#400
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-3085
Country	:	US
Telephone Number	:	801-484-1032
Fax Number	:	801-484-1072

Provider Business Practice Location Address
First Line	:	3098 HIGHLAND DR
Second Line	:	#400
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-3085
Country	:	US
Telephone Number	:	801-484-1032
Fax Number	:	801-484-1072

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

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	11/05/2021

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