| Parleys Creek Dental | |
|
2725 E Parleys Way Suite 150 Salt Lake City UT 84109-1667 | |
| (801) 875-0570 | |
| (801) 657-3745 |
| Full Name | Parleys Creek Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2725 E Parleys Way, Salt Lake City, Utah |
| Authorized Official Name and Position | Taurean Travas Smith (GENERAL DENTIST) |
| Authorized Official Contact | 8013108244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parleys Creek Dental 2725 East Parleys Way Suite 150 Salt Lake City UT 84109 Ph: (801) 875-0570 | Parleys Creek Dental 2725 E Parleys Way Suite 150 Salt Lake City UT 84109-1667 Ph: (801) 875-0570 |
| NPI Number | 1730581919 |
|---|---|
| Provider Enumeration Date | 09/19/2014 |
| Last Update Date | 10/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730581919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9030705-9922 (Utah) | Primary |
| 261QD0000X | Clinic/center - Dental | 9030705-8903 (Utah) | Secondary |
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