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209 W 200 N 71-2 Roosevelt UT 84066-2835 | |
| (435) 722-2111 | |
| (435) 722-2005 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 209 W 200 N, Roosevelt, Utah |
| Authorized Official Name and Position | Gregory George Page (PRESIDENT) |
| Authorized Official Contact | 4357222111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
209 W 200 N 71-2 Roosevelt UT 84066-2835 Ph: (435) 722-2111 | 209 W 200 N 71-2 Roosevelt UT 84066-2835 Ph: (435) 722-2111 |
| NPI Number | 1306901566 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 09/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306901566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 142333-9922 (Utah) | Primary |
Robinson Dental & Implants Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 Rodeo Dr, Roosevelt, UT 84066 Phone: 435-725-3368 Fax: 435-725-3370 | |
Basin Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 W 200 N # 71, Roosevelt, UT 84066 Phone: 435-722-2111 | |
Pinnacle Dental Partners Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 W 200 N, Roosevelt, UT 84066 Phone: 435-722-2111 |