| Happy Tooth Pediatric Dentistry, Llc | |
|
2453 E 3300 S Millcreek UT 84109-2725 | |
| (801) 946-2565 | |
| Not Available |
| Full Name | Happy Tooth Pediatric Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2453 E 3300 S, Millcreek, Utah |
| Authorized Official Name and Position | Tyler Dale Hanks (SOLE OWNER) |
| Authorized Official Contact | 8019462565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Happy Tooth Pediatric Dentistry, Llc 1850 Orangewood Dr Medford OR 97504-5725 Ph: (801) 946-2565 | Happy Tooth Pediatric Dentistry, Llc 2453 E 3300 S Millcreek UT 84109-2725 Ph: (801) 946-2565 |
| NPI Number | 1376176198 |
|---|---|
| Provider Enumeration Date | 02/20/2020 |
| Last Update Date | 02/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376176198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Millcreek Pdc Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4110 S Highland Dr Ste 100a, Millcreek, UT 84124 Phone: 801-506-6354 |