| Highland Dental Center, Pc | |
|
1955 S 1300 E Suite #1 Salt Lake City UT 84105-3658 | |
| (801) 487-5755 | |
| (801) 484-5567 |
| Full Name | Highland Dental Center, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1955 S 1300 E, Salt Lake City, Utah |
| Authorized Official Name and Position | Richard Bruce Barnes (PRESIDENT) |
| Authorized Official Contact | 8014875755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Dental Center, Pc 1955 S 1300 E Suite #1 Salt Lake City UT 84105-3658 Ph: (801) 487-5755 | Highland Dental Center, Pc 1955 S 1300 E Suite #1 Salt Lake City UT 84105-3658 Ph: (801) 487-5755 |
| NPI Number | 1922378926 |
|---|---|
| Provider Enumeration Date | 01/06/2012 |
| Last Update Date | 01/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922378926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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