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485 S Main St Ste 202 Springville UT 84663-2291 | |
| (801) 489-7364 | |
| (801) 491-8629 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 485 S Main St Ste 202, Springville, Utah |
| Authorized Official Name and Position | Brian Tuft (DENTIST/PARTNER) |
| Authorized Official Contact | 8014897364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 190 Springville UT 84663-0190 Ph: (801) 489-7364 | 485 S Main St Ste 202 Springville UT 84663-2291 Ph: (801) 489-7364 |
| NPI Number | 1356850069 |
|---|---|
| Provider Enumeration Date | 09/26/2017 |
| Last Update Date | 09/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356850069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6654264 (Utah) | Primary |
| 1223G0001X | Dentist - General Practice | 145770 (Utah) | Secondary |
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