North Salt Lake Dental Pllc | |
386 N Redwood Rd Ste 106 North Salt Lake UT 84054-2795 | |
(801) 397-5262 | |
Not Available |
Full Name | North Salt Lake Dental Pllc |
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Speciality | Dentist - General Practice |
Location | 386 N Redwood Rd Ste 106, North Salt Lake, 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 |
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North Salt Lake Dental Pllc 386 N Redwood Rd Ste 106 North Salt Lake UT 84054-2795 Ph: (801) 397-5262 | North Salt Lake Dental Pllc 386 N Redwood Rd Ste 106 North Salt Lake UT 84054-2795 Ph: (801) 397-5262 |
NPI Number | 1447901210 |
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Provider Enumeration Date | 01/13/2022 |
Last Update Date | 01/13/2022 |
Identifier | Type | State | Issuer |
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1447901210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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