|
| |
|
7138 S Highland Dr Suite #216 Salt Lake City UT 84121-3757 | |
| (801) 944-0668 | |
| (801) 944-4482 |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7138 S Highland Dr, Salt Lake City, Utah |
| Authorized Official Name and Position | Dannielle Stark (OFFICE MANAGER) |
| Authorized Official Contact | 8018987502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7138 S Highland Dr Suite #216 Salt Lake City UT 84121-3757 Ph: (801) 944-0668 | 7138 S Highland Dr Suite #216 Salt Lake City UT 84121-3757 Ph: (801) 944-0668 |
| NPI Number | 1881093334 |
|---|---|
| Provider Enumeration Date | 08/21/2014 |
| Last Update Date | 08/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881093334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 144937 (Utah) | Primary |
City Creek Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 S West Temple Ste 100, Salt Lake City, UT 84101 Phone: 801-364-7943 Fax: 801-364-3373 | |
Judd E Partridge Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7138 S Highland Dr, Suite 211, Salt Lake City, UT 84121 Phone: 801-943-8703 Fax: 801-943-5150 | |
Greater Endodontics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 Phone: 801-268-3636 Fax: 801-942-7652 | |
Cottonwood Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7050 S Highland Dr, Suite #110, Salt Lake City, UT 84121 Phone: 801-943-3233 | |