| Mountain View Dental Group Llc | |
|
1172 E 100 N Suite #6 Payson UT 84651-1667 | |
| (801) 468-3691 | |
| Not Available |
| Full Name | Mountain View Dental Group Llc |
|---|---|
| Speciality | Dentist |
| Location | 1172 E 100 N, Payson, Utah |
| Authorized Official Name and Position | John Craig Callister (PRESIDENT) |
| Authorized Official Contact | 8014653691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain View Dental Group Llc 1172 E 100 N Suite #6 Payson UT 84651-1667 Ph: (801) 468-3691 | Mountain View Dental Group Llc 1172 E 100 N Suite #6 Payson UT 84651-1667 Ph: (801) 468-3691 |
| NPI Number | 1568504181 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 01/29/2019 |
| Medicare PECOS PAC ID | 8820280811 |
|---|---|
| Medicare Enrollment ID | O20101008000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568504181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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