| Michael R. Cottam Ms Dmd Pllc | |
|
4775 W Daybreak Pkwy South Jordan UT 84095-5968 | |
| (801) 261-3178 | |
| (801) 268-1930 |
| Full Name | Michael R. Cottam Ms Dmd Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4775 W Daybreak Pkwy, South Jordan, Utah |
| Authorized Official Name and Position | Michael R Cottam (DENTIST) |
| Authorized Official Contact | 8012613178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R. Cottam Ms Dmd Pllc 4775 W Daybreak Pkwy South Jordan UT 84095-5968 Ph: (801) 261-3178 | Michael R. Cottam Ms Dmd Pllc 4775 W Daybreak Pkwy South Jordan UT 84095-5968 Ph: (801) 261-3178 |
| NPI Number | 1679823058 |
|---|---|
| Provider Enumeration Date | 09/13/2012 |
| Last Update Date | 09/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679823058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 8296939-9923 (* (Not Available)) | Primary |
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