| Candid Utah, P.c. | |
|
12884 S Frontrunner Blvd Ste 140 Draper UT 84020-5488 | |
| (860) 481-7631 | |
| Not Available |
| Full Name | Candid Utah, P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 12884 S Frontrunner Blvd Ste 140, Draper, Utah |
| Authorized Official Name and Position | Thomas Shannon (DDS) |
| Authorized Official Contact | 8604817631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Candid Utah, P.c. 12884 S Frontrunner Blvd Ste 140 Draper UT 84020-5488 Ph: (860) 481-7631 | Candid Utah, P.c. 12884 S Frontrunner Blvd Ste 140 Draper UT 84020-5488 Ph: (860) 481-7631 |
| NPI Number | 1558978650 |
|---|---|
| Provider Enumeration Date | 09/23/2020 |
| Last Update Date | 09/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558978650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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