| Kenneth G. Bills D.d.s. P.c. | |
|
2180 E 4500 S Suite 240 Salt Lake City UT 84117-4434 | |
| (801) 277-0090 | |
| (801) 277-0092 |
| Full Name | Kenneth G. Bills D.d.s. P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2180 E 4500 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Kenneth Gene Bills (CEO) |
| Authorized Official Contact | 8012770090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth G. Bills D.d.s. P.c. 2180 E 4500 S Suite 240 Salt Lake City UT 84117-4434 Ph: (801) 277-0090 | Kenneth G. Bills D.d.s. P.c. 2180 E 4500 S Suite 240 Salt Lake City UT 84117-4434 Ph: (801) 277-0090 |
| NPI Number | 1376893370 |
|---|---|
| Provider Enumeration Date | 09/17/2012 |
| Last Update Date | 09/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376893370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 221387029922 (Utah) | Primary |
| 1223P0300X | Dentist - Periodontics | 221387029922 (Utah) | Secondary |
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