| Kaysville Dental Clinic | |
|
690 N Main St Kaysville UT 84037-3132 | |
| (801) 719-6621 | |
| Not Available |
| Full Name | Kaysville Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 690 N Main St, Kaysville, Utah |
| Authorized Official Name and Position | Thomas Ericksen (DENTIST/OWNER) |
| Authorized Official Contact | 8015406377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaysville Dental Clinic 2325 W 525 S Layton UT 84041-5534 Ph: (801) 540-6377 | Kaysville Dental Clinic 690 N Main St Kaysville UT 84037-3132 Ph: (801) 719-6621 |
| NPI Number | 1346699311 |
|---|---|
| Provider Enumeration Date | 06/09/2016 |
| Last Update Date | 06/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346699311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5796632-9922 (Utah) | Primary |
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