| Eagle Mountain Children's Dentistry Pllc | |
|
3435 Pony Express Parkway Ste. 130 Eagle Mountain UT 84005 | |
| (801) 562-2222 | |
| Not Available |
| Full Name | Eagle Mountain Children's Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3435 Pony Express Parkway Ste. 130, Eagle Mountain, Utah |
| Authorized Official Name and Position | Erik Rooklidge (PRESIDENT) |
| Authorized Official Contact | 8016747702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Mountain Children's Dentistry Pllc 10011 S Centennial Pkwy Ste 250 Sandy UT 84070-4121 Ph: (801) 562-2222 | Eagle Mountain Children's Dentistry Pllc 3435 Pony Express Parkway Ste. 130 Eagle Mountain UT 84005 Ph: (801) 562-2222 |
| NPI Number | 1922573856 |
|---|---|
| Provider Enumeration Date | 10/08/2018 |
| Last Update Date | 10/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922573856 | NPI | - | NPPES |
| 529313580002 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Kids Dental Barn Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3688 Campus Dr Ste 220, Eagle Mountain, UT 84005 Phone: 801-341-7999 | |
Stonehaven Dental - Eagle Mountain Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3566 E Pony Express Pkwy Ste 1, Eagle Mountain, UT 84005 Phone: 502-254-8500 | |
Rb Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3435 E Pony Express Parkway, Suite 110, Eagle Mountain, UT 84005 Phone: 801-310-6777 | |
Lake Mountain Dental Eagle Mountain Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4342 E Pony Express Pkwy Ste 100, Eagle Mountain, UT 84005 Phone: 801-830-4486 | |
Utah Dental Health Professionals, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4342 E Pony Express Pkwy Ste 100, Eagle Mountain, UT 84005 Phone: 505-947-4253 | |
Pony Express Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1308 E. Eagle Mountain Blvd, Eagle Mountain, UT 84005 Phone: 801-876-7669 | |
Hart Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3566 Pony Express Pkwy, St #1, Eagle Mountain, UT 84005 Phone: 801-789-7500 Fax: 801-789-7788 |