| Hyde Park Dental | |
|
3125 N Main St Suite 104 North Logan UT 84341-1547 | |
| (435) 787-4444 | |
| (435) 787-0044 |
| Full Name | Hyde Park Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3125 N Main St, North Logan, Utah |
| Authorized Official Name and Position | Monte Lamarr Carlson (OWNER) |
| Authorized Official Contact | 4357874444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyde Park Dental 3125 N Main St Suite 104 North Logan UT 84341-1547 Ph: (435) 787-4444 | Hyde Park Dental 3125 N Main St Suite 104 North Logan UT 84341-1547 Ph: (435) 787-4444 |
| NPI Number | 1922440031 |
|---|---|
| Provider Enumeration Date | 07/18/2013 |
| Last Update Date | 07/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922440031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1433829922 (Utah) | Primary |
Health West, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 N 400 E, North Logan, UT 84341 Phone: 208-232-7862 | |
Sleep Healthy Utah Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3125 N Main St Ste 105, North Logan, UT 84341 Phone: 435-535-3445 Fax: 435-213-9952 |