Search › Utah › 122300000X
Brian Randle, DMD
NPI 1518053412 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1140 Brickyard Rd
32b
Salt Lake City, UT 84106 - Phone
- (801) 474-9552
- Organisation at this address
- Utah Orthodontic Care,P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
122300000X - Licence states on file
- NV, CA, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah