| Millcreek Pdc Pllc | |
|
4110 S Highland Dr Ste 100a Millcreek UT 84124-2784 | |
| (801) 506-6354 | |
| Not Available |
| Full Name | Millcreek Pdc Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4110 S Highland Dr Ste 100a, Millcreek, Utah |
| Authorized Official Name and Position | Kayla Shade (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 8013053460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Millcreek Pdc Pllc Po Box 970681 Orem UT 84097-0681 Ph: (801) 506-6354 | Millcreek Pdc Pllc 4110 S Highland Dr Ste 100a Millcreek UT 84124-2784 Ph: (801) 506-6354 |
| NPI Number | 1396444337 |
|---|---|
| Provider Enumeration Date | 02/28/2023 |
| Last Update Date | 02/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396444337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Happy Tooth Pediatric Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2453 E 3300 S, Millcreek, UT 84109 Phone: 801-946-2565 |