| Grove Creek Dental | |
|
238 E State Rd Ste 2 Pleasant Grove UT 84062-3621 | |
| (801) 796-7779 | |
| (801) 796-5510 |
| Full Name | Grove Creek Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 238 E State Rd Ste 2, Pleasant Grove, Utah |
| Authorized Official Name and Position | Jonathan D Jackson (DENTIST) |
| Authorized Official Contact | 8017967779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grove Creek Dental 238 E State Rd Ste 2 Pleasant Grove UT 84062-3621 Ph: (801) 796-7779 | Grove Creek Dental 238 E State Rd Ste 2 Pleasant Grove UT 84062-3621 Ph: (801) 796-7779 |
| NPI Number | 1528566494 |
|---|---|
| Provider Enumeration Date | 01/25/2018 |
| Last Update Date | 01/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528566494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7025515 (Utah) | Primary |
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