| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1030 E 11400 S, Sandy, Utah |
| Authorized Official Name and Position | Marci Nicol (COO) |
| Authorized Official Contact | 8013127122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
678 E Vine St Ste 10 Murray UT 84107-5500 Ph: (801) 553-8882 | 1030 E 11400 S Sandy UT 84094-6902 Ph: (801) 553-8882 |
| NPI Number | 1780102616 |
|---|---|
| Provider Enumeration Date | 08/30/2017 |
| Last Update Date | 08/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780102616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Nathan E. Chandler D.d.s. P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 E 9400 S Ste 101, Sandy, UT 84094 Phone: 801-571-3446 Fax: 801-571-1340 | |
Lone Peak Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1030 E 11400 S, Suite #101, Sandy, UT 84094 Phone: 801-553-8882 | |
Matsumori Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 E 9400 S Ste 110, Sandy, UT 84094 Phone: 801-571-8391 Fax: 801-571-8285 | |
Sandy Shores Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1434 E. 9400 S. #205, Sandy, UT 84092 Phone: 801-571-5800 | |