| Sandy Modern Dentistry, Llp | |
|
65 E 10600 S Ste 104 Sandy UT 84070-4124 | |
| (801) 305-3736 | |
| Not Available |
| Full Name | Sandy Modern Dentistry, Llp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 65 E 10600 S Ste 104, Sandy, Utah |
| Authorized Official Name and Position | Adam Burr (OWNER) |
| Authorized Official Contact | 7148458500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandy Modern Dentistry, Llp 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8500 | Sandy Modern Dentistry, Llp 65 E 10600 S Ste 104 Sandy UT 84070-4124 Ph: (801) 305-3736 |
| NPI Number | 1720649098 |
|---|---|
| Provider Enumeration Date | 06/26/2019 |
| Last Update Date | 06/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720649098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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