| Premier Dental | |
|
427 S Main St Ste 101 Cedar City UT 84720 | |
| (435) 586-6526 | |
| (435) 867-9203 |
| Full Name | Premier Dental |
|---|---|
| Speciality | Dentist |
| Location | 427 S Main St, Cedar City, Utah |
| Authorized Official Name and Position | Shad L Morris (OWNER) |
| Authorized Official Contact | 4355866526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental 427 S Main St Ste 101 Cedar City UT 84720 Ph: (435) 586-6526 | Premier Dental 427 S Main St Ste 101 Cedar City UT 84720 Ph: (435) 586-6526 |
| NPI Number | 1902967524 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902967524 | NPI | - | NPPES |
| S29980447007 | Medicaid | UT | |
| 02800149900001 | Other | UT | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 02800149922 (Utah) | Primary |
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