| Premier Orthodontic Care | |
|
5502 W 13400 S Ste A Herriman UT 84096-5636 | |
| (801) 997-5729 | |
| Not Available |
| Full Name | Premier Orthodontic Care |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5502 W 13400 S Ste A, Herriman, Utah |
| Authorized Official Name and Position | Todd Christensen (ASSOCIATE) |
| Authorized Official Contact | 8019975729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Orthodontic Care 5502 W 13400 S Ste A Herriman UT 84096-5636 Ph: (801) 997-5729 | Premier Orthodontic Care 5502 W 13400 S Ste A Herriman UT 84096-5636 Ph: (801) 997-5729 |
| NPI Number | 1447922158 |
|---|---|
| Provider Enumeration Date | 09/30/2021 |
| Last Update Date | 09/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447922158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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