| Crescent Dental, Inc. | |
|
5547 So. 4015 W. Suite 2 Taylorsville UT 84118-4408 | |
| (801) 957-0130 | |
| Not Available |
| Full Name | Crescent Dental, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5547 So. 4015 W., Taylorsville, Utah |
| Authorized Official Name and Position | Shaneen J Wintch (OWNER) |
| Authorized Official Contact | 8019570130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Dental, Inc. 5547 So. 4015 W. Suite 2 Taylorsville UT 84118-4408 Ph: (801) 957-0130 | Crescent Dental, Inc. 5547 So. 4015 W. Suite 2 Taylorsville UT 84118-4408 Ph: (801) 957-0130 |
| NPI Number | 1902008048 |
|---|---|
| Provider Enumeration Date | 06/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902008048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4449 (Utah) | Primary |
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