| Pediatric Dental & Orthodontics Pc | |
|
3485 W 4800 S Roy UT 84067-9429 | |
| (801) 774-5437 | |
| (801) 774-9440 |
| Full Name | Pediatric Dental & Orthodontics Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3485 W 4800 S, Roy, Utah |
| Authorized Official Name and Position | John R. Anderson (OWNER) |
| Authorized Official Contact | 8015405081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental & Orthodontics Pc 3485 W 4800 S Roy UT 84067-9429 Ph: (801) 774-5437 | Pediatric Dental & Orthodontics Pc 3485 W 4800 S Roy UT 84067-9429 Ph: (801) 774-5437 |
| NPI Number | 1184706491 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 12/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184706491 | NPI | - | NPPES |
| 528537398001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 341292 (Utah) | Primary |
Zimbi Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2779 W 4000 S, Ste 101, Roy, UT 84067 Phone: 801-731-5528 Fax: 801-731-8369 | |
Davidson Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4896 S 1900 W Ste C, Roy, UT 84067 Phone: 801-825-3898 | |
Midland Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4040 South Midland Drive, Suite 1, Roy, UT 84067 Phone: 801-317-4407 Fax: 801-605-8304 | |
Paul D Hopkins Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4902 S 1900 W Suite 2, Roy, UT 84067 Phone: 801-773-1234 Fax: 801-773-9611 | |
Moore Legacy Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4896 S 1900 W Ste B, Roy, UT 84067 Phone: 801-773-9198 Fax: 208-444-9804 | |
Russell Seamons Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4902 S 1900 W, Ste 2, Roy, UT 84067 Phone: 801-773-1234 Fax: 801-773-9611 |