| San Juan Dental | |
|
217 S. 100 W. Monticello UT 84535 | |
| (435) 587-2528 | |
| (435) 587-3585 |
| Full Name | San Juan Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 217 S. 100 W., Monticello, Utah |
| Authorized Official Name and Position | Gerald O. Miller (DENTIST) |
| Authorized Official Contact | 4355872528 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Juan Dental Po Box 760 Monticello UT 84535-0760 Ph: (435) 587-2528 | San Juan Dental 217 S. 100 W. Monticello UT 84535 Ph: (435) 587-2528 |
| NPI Number | 1447465141 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 01/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447465141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 139310 (Utah) | Secondary |
| 1223G0001X | Dentist - General Practice | 360185 (Utah) | Primary |
Monticello Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 S. Main, Monticello, UT 84535 Phone: 435-587-2700 Fax: 435-587-3442 | |
San Juan Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 S. 100 West, Monticello, UT 84535 Phone: 435-587-2528 |