| Davidson Dental | |
|
4896 S 1900 W Ste C Roy UT 84067-2994 | |
| (801) 825-3898 | |
| Not Available |
| Full Name | Davidson Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4896 S 1900 W Ste C, Roy, Utah |
| Authorized Official Name and Position | Collin B Davidson (OWNER) |
| Authorized Official Contact | 8018253898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davidson Dental 4896 S 1900 W Ste C Roy UT 84067-2994 Ph: (801) 825-3898 | Davidson Dental 4896 S 1900 W Ste C Roy UT 84067-2994 Ph: (801) 825-3898 |
| NPI Number | 1235568015 |
|---|---|
| Provider Enumeration Date | 11/02/2013 |
| Last Update Date | 11/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235568015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5319871 (Utah) | Primary |
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