| Frandsen Family Dental Group Pllc | |
|
14 N Hale St Grantsville UT 84029 | |
| (435) 884-3002 | |
| (435) 884-6790 |
| Full Name | Frandsen Family Dental Group Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14 N Hale St, Grantsville, Utah |
| Authorized Official Name and Position | Becky J Christley (CREDENTIALLING COORDINATOR) |
| Authorized Official Contact | 4358843476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frandsen Family Dental Group Pllc 14 N Hale St Grantsville UT 84029-9315 Ph: (435) 884-3476 | Frandsen Family Dental Group Pllc 14 N Hale St Grantsville UT 84029 Ph: (435) 884-3002 |
| NPI Number | 1457649675 |
|---|---|
| Provider Enumeration Date | 07/21/2011 |
| Last Update Date | 07/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457649675 | NPI | - | NPPES |
| 5224323622001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5125133-9921 (Utah) | Primary |
Grantsville Dental Clinic Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 N Hale St, Grantsville, UT 84029 Phone: 435-884-3476 Fax: 435-884-6790 |