Bountiful Oral Surgery, P.c. | |
625 E 500 S Ste 204 Bountiful UT 84010-3883 | |
(801) 298-2242 | |
Not Available |
Full Name | Bountiful Oral Surgery, P.c. |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 625 E 500 S Ste 204, Bountiful, Utah |
Authorized Official Name and Position | Dayne Jensen (OWNER) |
Authorized Official Contact | 8016987121 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bountiful Oral Surgery, P.c. 625 E 500 S Ste 204 Bountiful UT 84010-3883 Ph: () - | Bountiful Oral Surgery, P.c. 625 E 500 S Ste 204 Bountiful UT 84010-3883 Ph: (801) 298-2242 |
NPI Number | 1861147100 |
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Provider Enumeration Date | 02/15/2022 |
Last Update Date | 02/15/2022 |
Identifier | Type | State | Issuer |
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1861147100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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Mark H. Blaisdell Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 E 500 S, Suite 203, Bountiful, UT 84010 Phone: 801-292-6819 Fax: 801-298-8573 | |
Todd C. Liston Dds, Ms, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 469 Medical Dr, Suite 202, Bountiful, UT 84010 Phone: 801-299-8531 Fax: 801-299-9667 | |
Monarch Dental - Bountiful Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 S. 500 West, #a, Bountiful, UT 84010 Phone: 801-296-1617 | |
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