| Lionize Pllc | |
|
2074 S Arabian Way Washington UT 84780-8301 | |
| (435) 275-5000 | |
| (888) 935-3494 |
| Full Name | Lionize Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2074 S Arabian Way, Washington, Utah |
| Authorized Official Name and Position | Shane Trent Taylor (PRESIDENT/CEO) |
| Authorized Official Contact | 4352755000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lionize Pllc 2074 S Arabian Way Washington UT 84780-8301 Ph: (435) 275-5000 | Lionize Pllc 2074 S Arabian Way Washington UT 84780-8301 Ph: (435) 275-5000 |
| NPI Number | 1326201088 |
|---|---|
| Provider Enumeration Date | 07/02/2008 |
| Last Update Date | 02/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326201088 | NPI | - | NPPES |
| 529292691015 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 344866-9922 (Utah) | Primary |
Burke Orthodontics, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Wiltshire St, Washington, UT 84780 Phone: 435-632-9742 |