| Vineyard Pediatric Dentistry & Orthodontics | |
|
707 E Mill Rd Ste 101 Vineyard UT 84059-5732 | |
| (801) 544-1184 | |
| (801) 852-0440 |
| Full Name | Vineyard Pediatric Dentistry & Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 707 E Mill Rd Ste 101, Vineyard, Utah |
| Authorized Official Name and Position | Spencer Goo (MANAGER) |
| Authorized Official Contact | 8013828820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vineyard Pediatric Dentistry & Orthodontics 707 E Mill Rd Ste 101 Vineyard UT 84059-5732 Ph: (801) 382-8820 | Vineyard Pediatric Dentistry & Orthodontics 707 E Mill Rd Ste 101 Vineyard UT 84059-5732 Ph: (801) 544-1184 |
| NPI Number | 1538679188 |
|---|---|
| Provider Enumeration Date | 10/10/2017 |
| Last Update Date | 10/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538679188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Vineyard Heights Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 E Mill Rd Ste 302, Vineyard, UT 84059 Phone: 801-901-3736 Fax: 385-283-0660 | |
Vineyard Oral And Maxillofacial Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 E Mill Rd Ste 102, Vineyard, UT 84059 Phone: 801-766-4834 Fax: 801-766-2315 |