| Ephraim Family Dental Clinic, Inc. | |
|
35 E 400 S Ephraim UT 84627-1336 | |
| (435) 283-4081 | |
| (435) 283-6151 |
| Full Name | Ephraim Family Dental Clinic, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 35 E 400 S, Ephraim, Utah |
| Authorized Official Name and Position | Wesley B Thompson (MANAGER) |
| Authorized Official Contact | 4352834081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ephraim Family Dental Clinic, Inc. 35 E 400 S Ephraim UT 84627-1336 Ph: (435) 283-4081 | Ephraim Family Dental Clinic, Inc. 35 E 400 S Ephraim UT 84627-1336 Ph: (435) 283-4081 |
| NPI Number | 1598881906 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598881906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5684051-9922 (Utah) | Primary |