| Ashman Dental L.l.c. | |
|
1355 N University Ave Ste 300 Provo UT 84604-2721 | |
| (801) 373-6928 | |
| (801) 377-2777 |
| Full Name | Ashman Dental L.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1355 N University Ave Ste 300, Provo, Utah |
| Authorized Official Name and Position | Tyler Ashman (OWMER) |
| Authorized Official Contact | 8013736928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashman Dental L.l.c. 1355 N University Ave Ste 300 Provo UT 84604-2721 Ph: (801) 373-6928 | Ashman Dental L.l.c. 1355 N University Ave Ste 300 Provo UT 84604-2721 Ph: (801) 373-6928 |
| NPI Number | 1740386713 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740386713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 264214 (Utah) | Secondary |
| 1223G0001X | Dentist - General Practice | 128884 (Utah) | Primary |
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