| Elite Dental | |
|
218 N West State Rd American Fork UT 84003-1419 | |
| (801) 763-7737 | |
| (801) 763-7757 |
| Full Name | Elite Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 218 N West State Rd, American Fork, Utah |
| Authorized Official Name and Position | Steven Braithwaite (OWNER) |
| Authorized Official Contact | 8017637737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dental 218 N West State Rd American Fork UT 84003-1419 Ph: (801) 763-7737 | Elite Dental 218 N West State Rd American Fork UT 84003-1419 Ph: (801) 763-7737 |
| NPI Number | 1477892685 |
|---|---|
| Provider Enumeration Date | 02/07/2013 |
| Last Update Date | 02/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477892685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5148371-9922 (Utah) | Secondary |
| 1223G0001X | Dentist - General Practice | 5070492-9922 (Utah) | Primary |
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