| Ismile At Slc | |
|
302 N Main St Kaysville UT 84037-6766 | |
| (801) 544-3953 | |
| (801) 660-1312 |
| Full Name | Ismile At Slc |
|---|---|
| Speciality | Dentist |
| Location | 302 N Main St, Kaysville, Utah |
| Authorized Official Name and Position | Jason G Barton (MEMBER/OWNER) |
| Authorized Official Contact | 8015443953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ismile At Slc 928 E 100 S Suite E Salt Lake City UT 84102-1455 Ph: (801) 355-5657 | Ismile At Slc 302 N Main St Kaysville UT 84037-6766 Ph: (801) 544-3953 |
| NPI Number | 1154744399 |
|---|---|
| Provider Enumeration Date | 01/23/2014 |
| Last Update Date | 01/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154744399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5310263 (Utah) | Primary |
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