| Plain City Family Dental Pllc | |
|
2384 N 4350 W Plain City UT 84404-9617 | |
| (801) 948-0673 | |
| Not Available |
| Full Name | Plain City Family Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2384 N 4350 W, Plain City, Utah |
| Authorized Official Name and Position | Peter Christian Mortenson (SOLE MEMBER) |
| Authorized Official Contact | 8019480673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plain City Family Dental Pllc 3968 W 5700 S Roy UT 84067-9176 Ph: (801) 376-6494 | Plain City Family Dental Pllc 2384 N 4350 W Plain City UT 84404-9617 Ph: (801) 948-0673 |
| NPI Number | 1629841341 |
|---|---|
| Provider Enumeration Date | 11/03/2023 |
| Last Update Date | 11/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629841341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |