Victor O Pickett
Dentist - General Practice
5255 S 4015 W Suite 180
Salt Lake City
, Utah 84118-4257
Victor O Pickett
Dentist - General Practice
5255 S 4015 W Suite 180
Salt Lake City
, Utah 84118-4257
(801) 968-9069
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Victor O Pickett
- 5255 S 4015 W Suite 180
- Salt Lake City, UT
- Zip : 84129
- Fax : (801) 968-9069
- Phone : (801) 968-9003
Second Address
- Victor O Pickett
- 5255 S 4015 W Suite 180
- Salt Lake City, UT
- Zip : 84118-4257
- Phone : (801) 968-9003
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 139135 | UT |
| Y | 213EG0000X | General Practice | 139135 | UT |
National Provider Identifier
| NPI | 1003930009 |
|---|---|
| Provider Name | Victor O Pickett |
| First Address | Salt Lake City, UT 84129 |
| Second Address | Salt Lake City, UT 84118-4257 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/03/2007 |
| Last Update Date | 16/04/2014 |
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.