| Orthodontic Center | |
|
3556 W 9800 S Suite 103 South Jordan UT 84095 | |
| (801) 446-3549 | |
| (801) 254-3656 |
| Full Name | Orthodontic Center |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3556 W 9800 S, South Jordan, Utah |
| Authorized Official Name and Position | Timothy B Elison (PRESIDENT) |
| Authorized Official Contact | 8014463549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthodontic Center 3556 W 9800 S Suite 103 South Jordan UT 84095 Ph: (801) 446-3549 | Orthodontic Center 3556 W 9800 S Suite 103 South Jordan UT 84095 Ph: (801) 446-3549 |
| NPI Number | 1811057995 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811057995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Peak 5 Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1680 W Reunion Ave Ste 6b, South Jordan, UT 84095 Phone: 385-368-6745 | |
Pony Express Dental Daybreak, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5396 W Daybreak Parkway, South Jordan, UT 84009 Phone: 801-876-7669 | |
Copper Cove Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3473 W South Jordan Pkwy Ste 3, South Jordan, UT 84095 Phone: 801-446-2080 Fax: 801-446-2757 | |
Pony Exress Orthodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5396 W Daybreak Pkwy, South Jordan, UT 84009 Phone: 801-614-7669 | |
Southridge Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2651 W. 10400 S. #103, South Jordan, UT 84095 Phone: 801-445-1515 Fax: 801-446-5290 |