Dr. Dave Tien
Nephrologist
3702 S State St Ste 107
South Salt Lake
, Utah 84115-5096
Dr. Dave Tien
Nephrologist
3702 S State St Ste 107
South Salt Lake
, Utah 84115-5096
(801) 288-1186
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Dave Tien
- 3702 S State St Ste 107
- South Salt Lake, UT
- Zip : 84115-5096
- Fax : (801) 288-1186
- Phone : (801) 288-2634
Second Address
- Dr. Dave Tien
- 3702 S State St Ste 107
- South Salt Lake, UT
- Zip : 84115-5096
- Fax : (801) 288-1186
- Phone : (801) 288-2634
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | 3788925-1205 | UT |
National Provider Identifier
| NPI | 1053319657 |
|---|---|
| Provider Name | Dr. Dave Tien |
| First Address | South Salt Lake, UT 84115-5096 |
| Second Address | South Salt Lake, UT 84115-5096 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2005 |
| Last Update Date | 25/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H38701 | (02) | UT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.