BULLEN & WILSON EAGLEGATE COLLEGE DENTAL CLINIC
NPI 1962635466
Dentist - General Practice in Murray, UT

Active since August 31, 2009
5618 GREEN ST, MURRAY, UT 84123(801) 333-8138(801) 263-6520 Get Directions Write a Review

NPPES record last updated: August 31, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bullen & Wilson Eaglegate College Dental Clinic NPPES

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

BULLEN & WILSON EAGLEGATE COLLEGE DENTAL CLINIC (NPI 1962635466) is a healthcare organization registered as a general practice in Murray, Utah and active in the NPI registry since August 2009. The organization lists Holli D Stewart, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1962635466
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBULLEN & WILSON EAGLEGATE COLLEGE DENTAL CLINIC
Location Address5618 GREEN STMurray, UT 84123-5796
Mailing Address5618 Green StMurray, UT 84123-5796 · (801) 333-8138 · Fax (801) 263-6520
Fax(801) 263-6520
Organization SubpartYesParent: Bullen & Wilson Eaglegate College
Authorized OfficialHolli D StewartClinic Manager · (801) 333-8138
Enumeration DateAugust 31, 2009
NPI 1962635466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in UT · 133186-9922
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5618 GREEN ST, Murray, UT 84123

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bullen & Wilson Eaglegate College Dental Clinic's NPI number?

The NPI number for Bullen & Wilson Eaglegate College Dental Clinic is 1962635466. It was assigned to this organization in the NPPES registry on August 31, 2009.

Where is Bullen & Wilson Eaglegate College Dental Clinic located?

Bullen & Wilson Eaglegate College Dental Clinic is located at 5618 Green St, Murray, UT 84123. The listed phone number is (801) 333-8138.

What is Bullen & Wilson Eaglegate College Dental Clinic's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Bullen & Wilson Eaglegate College Dental Clinic was last updated on August 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.