| Eastgate Pediatric Dentistry | |
|
1580 E 3900 S Suite #110 Slc UT 84124-1581 | |
| (801) 272-8555 | |
| Not Available |
| Full Name | Eastgate Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1580 E 3900 S, Slc, Utah |
| Authorized Official Name and Position | Marci Nicol (VP OF OPERATIONS) |
| Authorized Official Contact | 8019184135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastgate Pediatric Dentistry 1580 E 3900 S Suite #110 Slc UT 84124-1581 Ph: (801) 272-8555 | Eastgate Pediatric Dentistry 1580 E 3900 S Suite #110 Slc UT 84124-1581 Ph: (801) 272-8555 |
| NPI Number | 1629499520 |
|---|---|
| Provider Enumeration Date | 12/18/2013 |
| Last Update Date | 12/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629499520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Gregory W Egbert Dds Msd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 E 3900 So, Ste 210, Slc, UT 84124 Phone: 801-265-1500 Fax: 801-265-1523 | |
Kent N Johnson Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7138 S Highland Dr, Suite 220, Slc, UT 84112 Phone: 801-943-7607 | |
G W Gatrell Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2015 S 1300 E, Slc, UT 84105 Phone: 801-485-5952 Fax: 801-485-5965 | |
Burg Children's Dentistry & Orthodontics- East Gate Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1580 E 3900 S Ste 110, Slc, UT 84124 Phone: 801-272-8555 | |
Romney Pediatric Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 E 100 S Ste 430, Slc, UT 84102 Phone: 801-532-1402 Fax: 801-328-3054 |