A Perfect Smile | |
230 N Fairgrounds Rd Price UT 84501-4205 | |
(435) 637-2100 | |
(435) 637-5007 |
Full Name | A Perfect Smile |
---|---|
Speciality | Clinic/center - Dental |
Location | 230 N Fairgrounds Rd, Price, Utah |
Authorized Official Name and Position | Marvin Blane Jackson (PRESIDENT) |
Authorized Official Contact | 8012102568 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
A Perfect Smile 230 N Fairgrounds Rd Price UT 84501-4205 Ph: (435) 637-2100 | A Perfect Smile 230 N Fairgrounds Rd Price UT 84501-4205 Ph: (435) 637-2100 |
NPI Number | 1114314747 |
---|---|
Provider Enumeration Date | 04/21/2015 |
Last Update Date | 04/21/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114314747 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 6605138 (Utah) | Primary |