| Creek Road Dental Care | |
|
7369 Creek Road Sandy UT 84121 | |
| (801) 566-5577 | |
| (801) 566-4848 |
| Full Name | Creek Road Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 7369 Creek Road, Sandy, Utah |
| Authorized Official Name and Position | Amy E. Florance Dethorn (OWNER) |
| Authorized Official Contact | 8015665577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creek Road Dental Care 7369 Creek Road Sandy UT 84121 Ph: (801) 566-5577 | Creek Road Dental Care 7369 Creek Road Sandy UT 84121 Ph: (801) 566-5577 |
| NPI Number | 1225470909 |
|---|---|
| Provider Enumeration Date | 07/23/2013 |
| Last Update Date | 07/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225470909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8628346 (Utah) | Primary |
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