Little People's Dental | |
1268 W South Jordan Pkwy Suite 101 South Jordan UT 84095-4652 | |
(801) 446-8007 | |
(801) 676-1030 |
Full Name | Little People's Dental |
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Speciality | Dentist - Pediatric Dentistry |
Location | 1268 W South Jordan Pkwy, South Jordan, Utah |
Authorized Official Name and Position | David M.s. Stewart (OWNER) |
Authorized Official Contact | 8014468007 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Little People's Dental 1268 W South Jordan Pkwy Suite 101 South Jordan UT 84095-4652 Ph: (801) 446-8007 | Little People's Dental 1268 W South Jordan Pkwy Suite 101 South Jordan UT 84095-4652 Ph: (801) 446-8007 |
NPI Number | 1215213905 |
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Provider Enumeration Date | 10/26/2011 |
Last Update Date | 10/26/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215213905 | NPI | - | NPPES |
529537623024 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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