Panquitch Dental is a dental clinic (Clinic/center - Dental) in Panguitch, Utah. The current practice location for Panquitch Dental is 75 North 200 East, Panguitch, Utah. For appointments, you can reach them via phone at
(435) 676-2443. The mailing address for Panquitch Dental is Po Box 303, Bicknell, Utah and phone number is (435) 425-3744.
Panquitch Dental is licensed to practice in Utah (license number ) and its
NPI number is 1851812085. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(435) 676-2443.
Dental Care Clinic Profile
| Full Name | Panquitch Dental |
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| Speciality | Clinic/center - Dental |
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| Location | 75 North 200 East, Panguitch, Utah |
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| Authorized Official Name and Position | Evan Christensen (CEO) |
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| Authorized Official Contact | 4354251102 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Panquitch Dental
Po Box 303
Bicknell
UT 84715-0303
Ph: (435) 425-3744 | Panquitch Dental
75 North 200 East
Panguitch
UT 84759
Ph: (435) 676-2443 |
NPI Details:
| NPI Number | 1851812085 |
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| Provider Enumeration Date | 06/28/2017 |
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| Last Update Date | 04/21/2021 |
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Medical Identifiers
Medical identifiers for Panquitch Dental such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851812085 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QD0000X | Clinic/center - Dental | (Utah) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Utah) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (Utah) | Secondary |
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