All Around Dental Care, Lc | |
777 N 500 W Ste 106 Provo UT 84601-1541 | |
(801) 356-8420 | |
(801) 356-8510 |
Full Name | All Around Dental Care, Lc |
---|---|
Speciality | Dentist |
Location | 777 N 500 W, Provo, Utah |
Authorized Official Name and Position | John Peter Weber (MANAGER) |
Authorized Official Contact | 8019001299 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
All Around Dental Care, Lc 777 N 500 W Ste 106 Provo UT 84601-1541 Ph: (801) 356-8420 | All Around Dental Care, Lc 777 N 500 W Ste 106 Provo UT 84601-1541 Ph: (801) 356-8420 |
NPI Number | 1700295227 |
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Provider Enumeration Date | 08/08/2014 |
Last Update Date | 05/25/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700295227 | NPI | - | NPPES |
1871597138 | Medicaid | CA | |
1134408156 | Medicaid | UT | |
1467688564 | Medicaid | UT | |
1780939348 | Medicaid | UT | |
1801945092 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 334005 (Utah) | Primary |
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