Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRETT MICHAEL PACKHAM, D.D.S.
ActiveDR. BRETT MICHAEL PACKHAM, D.D.S. is a Pediatric Dentistry healthcare provider located in SLC, Utah. NPI 1477728269 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · SLC, UT
Registration Details
- NPI Number
- 1477728269
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2008 (18.335947470149 yrs)
- Last Updated
- Apr 23, 2008
- License
-
6362621-9921 (UT)
Practice Information
- Address
-
100 N MEDICAL DRSUITE 3550SLC, UT, 841131103Browse UT providers · Browse ZIP 84113
- Phone
- 8016623900
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.