| Davis Sleep And Tmj | |
|
601 Ut-198 Salem UT 84653 | |
| (801) 885-4095 | |
| Not Available |
| Full Name | Davis Sleep And Tmj |
|---|---|
| Speciality | Clinic/Center |
| Location | 601 Ut-198, Salem, Utah |
| Authorized Official Name and Position | Allen Jon Davis (OWNER) |
| Authorized Official Contact | 8018854095 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Sleep And Tmj 601 Ut-198 Salem UT 84653 Ph: () - | Davis Sleep And Tmj 601 Ut-198 Salem UT 84653 Ph: (801) 885-4095 |
| NPI Number | 1558052977 |
|---|---|
| Provider Enumeration Date | 05/17/2023 |
| Last Update Date | 05/17/2023 |
| Medicare PECOS PAC ID | 5193172039 |
|---|---|
| Medicare Enrollment ID | O20231114001833 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558052977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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