| Sandy Shores Pediatric Dentistry | |
|
1434 E. 9400 S. #205 Sandy UT 84092 | |
| (801) 571-5800 | |
| Not Available |
| Full Name | Sandy Shores Pediatric Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1434 E. 9400 S. #205, Sandy, Utah |
| Authorized Official Name and Position | James Henry Bekker (DENTIST) |
| Authorized Official Contact | 8015715800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandy Shores Pediatric Dentistry 1434 E. 9400 S. #205 Sandy UT 84092 Ph: (801) 571-5800 | Sandy Shores Pediatric Dentistry 1434 E. 9400 S. #205 Sandy UT 84092 Ph: (801) 571-5800 |
| NPI Number | 1154737427 |
|---|---|
| Provider Enumeration Date | 07/08/2014 |
| Last Update Date | 07/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154737427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 142542 (Utah) | Primary |
| 122300000X | Dentist | 8320347 (Utah) | Secondary |
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