| San Juan Family Dental | |
|
217 S. 100 West Monticello UT 84535 | |
| (435) 587-2528 | |
| Not Available |
| Full Name | San Juan Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 217 S. 100 West, Monticello, Utah |
| Authorized Official Name and Position | Michael Jensen (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4356513713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Juan Family Dental Po Box 130 Montezuma Creek UT 84534-0130 Ph: (435) 651-3700 | San Juan Family Dental 217 S. 100 West Monticello UT 84535 Ph: (435) 587-2528 |
| NPI Number | 1346797909 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346797909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | 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 Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 S. 100 W., Monticello, UT 84535 Phone: 435-587-2528 Fax: 435-587-3585 |