| Park City Pediatric Dentistry | |
|
1830 Prospector Ave Park City UT 84060-7319 | |
| (801) 661-8470 | |
| Not Available |
| Full Name | Park City Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1830 Prospector Ave, Park City, Utah |
| Authorized Official Name and Position | Tina Cochran (COMPANY COORDINATOR) |
| Authorized Official Contact | 8015538882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park City Pediatric Dentistry 1830 Prospector Ave Park City UT 84060-7319 Ph: (801) 661-8470 | Park City Pediatric Dentistry 1830 Prospector Ave Park City UT 84060-7319 Ph: (801) 661-8470 |
| NPI Number | 1558516161 |
|---|---|
| Provider Enumeration Date | 11/24/2008 |
| Last Update Date | 11/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558516161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (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 | |