| Bountiful Ridge Dental, Llc | |
|
415 Medical Dr Ste A200 Bountiful UT 84010-4970 | |
| (801) 203-0290 | |
| (801) 872-4329 |
| Full Name | Bountiful Ridge Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 415 Medical Dr Ste A200, Bountiful, Utah |
| Authorized Official Name and Position | Mark Spencer Mcgowan (OWNER) |
| Authorized Official Contact | 8012030290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bountiful Ridge Dental, Llc 415 Medical Dr Ste A200 Bountiful UT 84010-4970 Ph: (801) 203-0290 | Bountiful Ridge Dental, Llc 415 Medical Dr Ste A200 Bountiful UT 84010-4970 Ph: (801) 203-0290 |
| NPI Number | 1508387564 |
|---|---|
| Provider Enumeration Date | 06/29/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508387564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8008797 (Utah) | Primary |
Bountiful Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 E 500 S, Suite 201, Bountiful, UT 84010 Phone: 801-292-0443 | |
Matthew S. Brinkerhoff, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1512 Renaissance Towne Dr Ste 102, Bountiful, UT 84010 Phone: 801-298-7728 Fax: 801-292-0910 | |
Save Dental Bountiful, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 81 W 500 S, Bountiful, UT 84010 Phone: 801-335-6868 | |
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 | |
James E Russon Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 N 250 W, Bountiful, UT 84010 Phone: 801-294-5781 |