| Complete Smiles Llc | |
|
5481 W 7800 S Ste 150 West Jordan UT 84081-6030 | |
| (801) 943-9090 | |
| Not Available |
| Full Name | Complete Smiles Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5481 W 7800 S Ste 150, West Jordan, Utah |
| Authorized Official Name and Position | Angie Spencer (OPERATIONS MANAGER) |
| Authorized Official Contact | 8019439090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Smiles Llc 5481 W 7800 S Ste 150 West Jordan UT 84081-6030 Ph: (801) 943-9090 | Complete Smiles Llc 5481 W 7800 S Ste 150 West Jordan UT 84081-6030 Ph: (801) 943-9090 |
| NPI Number | 1194453100 |
|---|---|
| Provider Enumeration Date | 08/09/2022 |
| Last Update Date | 08/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194453100 | NPI | - | NPPES |
| 12205341 | Other | UT | GENERAL DENTIST |
| 11648624 | Other | UT | GENERAL DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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