| Cooney Family Dental | |
|
1792 W 1700 S Ste 203 Syracuse UT 84075-9651 | |
| (801) 779-6037 | |
| (801) 820-2774 |
| Full Name | Cooney Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1792 W 1700 S Ste 203, Syracuse, Utah |
| Authorized Official Name and Position | Elise Nicole Van Tassell (OFFICE MANAGER) |
| Authorized Official Contact | 8017796037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cooney Family Dental 1792 W 1700 S Ste 203 Syracuse UT 84075-9651 Ph: (801) 779-6037 | Cooney Family Dental 1792 W 1700 S Ste 203 Syracuse UT 84075-9651 Ph: (801) 779-6037 |
| NPI Number | 1417463308 |
|---|---|
| Provider Enumeration Date | 12/14/2017 |
| Last Update Date | 02/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417463308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8028926 (Utah) | Primary |
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