| Ninth East Dental | |
|
1234 N 900 E Ste 100 Provo UT 84604-2726 | |
| (801) 854-9140 | |
| Not Available |
| Full Name | Ninth East Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1234 N 900 E Ste 100, Provo, Utah |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ninth East Dental 1234 N 900 E Ste 100 Provo UT 84604-2726 Ph: (801) 854-9140 | Ninth East Dental 1234 N 900 E Ste 100 Provo UT 84604-2726 Ph: (801) 854-9140 |
| NPI Number | 1902470198 |
|---|---|
| Provider Enumeration Date | 05/13/2021 |
| Last Update Date | 09/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902470198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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