| Park City Dental Spa | |
|
1526 Ute Blvd Ste 212 Park City UT 84098-7654 | |
| (435) 615-8500 | |
| (435) 214-7246 |
| Full Name | Park City Dental Spa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1526 Ute Blvd Ste 212, Park City, Utah |
| Authorized Official Name and Position | Dawnetta Kay Abraham (MANAGER) |
| Authorized Official Contact | 4356158500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park City Dental Spa 1526 Ute Blvd Ste 212 Park City UT 84098-7654 Ph: (435) 615-8500 | Park City Dental Spa 1526 Ute Blvd Ste 212 Park City UT 84098-7654 Ph: (435) 615-8500 |
| NPI Number | 1760144117 |
|---|---|
| Provider Enumeration Date | 10/12/2021 |
| Last Update Date | 10/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760144117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Rise Park City Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Prospector Ave, Park City, UT 84060 Phone: 435-214-0544 | |
Pinebrook Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3080 Pinebrook Rd, Suite 2000, Park City, UT 84098 Phone: 435-649-6688 Fax: 435-649-0654 | |
Paul Innis Dmd Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6584 N. Creekside Lane, Park City, UT 84098 Phone: 435-649-6332 | |
Park City Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 Prospector Ave, Park City, UT 84060 Phone: 435-649-5001 | |