| Creek Dental Group- Millcreek | |
|
6957 S 1300 East Midvale UT 84047 | |
| (801) 747-8015 | |
| Not Available |
| Full Name | Creek Dental Group- Millcreek |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6957 S 1300 East, Midvale, Utah |
| Authorized Official Name and Position | Benjamin James Bowman (OWNER) |
| Authorized Official Contact | 4053755855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creek Dental Group- Millcreek 6957 S 1300 E Midvale UT 84047-1817 Ph: (801) 747-8015 | Creek Dental Group- Millcreek 6957 S 1300 East Midvale UT 84047 Ph: (801) 747-8015 |
| NPI Number | 1215505201 |
|---|---|
| Provider Enumeration Date | 06/15/2021 |
| Last Update Date | 12/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215505201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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