IndividualActive
Lark Elliott
NPI 1437386117 · Dental Hygienist · Park City, UT
Provider details
- NPI number
- 1437386117
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4751658-9920 (UT)
Specialties & taxonomies
Dental Providers
Practice location
1729 Sidewinder Dr Ste 102
Park City, UT 84060-7322
Phone: (435) 649-9492
Approximate (ZIP-level) locationGet directions
Mailing address
1729 Sidewinder Dr Ste 102
Park City, UT 84060-7322
Registry dates
- Enumerated
- 2009-06-19
- Last updated
- 2009-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.