What is Sara Qualls's NPI number?

The NPI number assigned to this healthcare provider is 1184424863, enumerated as a individual on March 13, 2025.

Where is the provider located?

The provider is located at 530 S WAKARA WAY SALT LAKE CITY, UT 84108 and the phone number is (801) 587-6453.

DR. SARA LYNN QUALLS DMD - NPI 1184424863 - Student in an Organized Health Care Education/Training Program in Salt Lake City, UT

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Dr. Sara Lynn Qualls Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SARA LYNN QUALLS DMD (NPI 1184424863) is an individual student in an organized health care education/training program in Salt Lake City, Utah and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1184424863

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. SARA LYNN QUALLSCredential: DMD

Location Address530 S WAKARA WAYSalt Lake City, UT 84108-1213

Mailing Address530 S Wakara WaySalt Lake City, UT 84108-1213 · (801) 587-6453

Phone(801) 587-6453

Sole ProprietorNo

Enumeration DateMarch 13, 2025

Last NPPES UpdateApril 22, 2025

NPPES CertifiedApril 22, 2025

✔ NPI 1184424863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

530 S WAKARA WAY, Salt Lake City, UT 84108

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