OrganizationActive
Creek Capital Anesthesia LLC
NPI 1275137663 · Dental Anesthesiology · Midvale, UT
Provider details
- NPI number
- 1275137663
- Entity type
- Organization
- Primary specialty
- Dental AnesthesiologyDental Providers
- Organization subpart
- No
- Authorized official
- Marci Nicol, Vp(801) 918-4135
Specialties & taxonomies
Dental Providers
Practice location
1275 E Fort Union Blvd Ste 100
Midvale, UT 84047-1890
Phone: (801) 918-4135
Approximate (ZIP-level) locationGet directions
Mailing address
1275 E Fort Union Blvd Ste 100
Midvale, UT 84047-1890
Registry dates
- Enumerated
- 2020-11-25
- Last updated
- 2020-11-25
- Certified
- 2020-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.