| Serene Dentistry Of North Salt Lake, Pllc | |
|
761 N Redwood Rd Ste 120 North Salt Lake UT 84054-2894 | |
| (385) 300-8184 | |
| (385) 489-7775 |
| Full Name | Serene Dentistry Of North Salt Lake, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 761 N Redwood Rd Ste 120, North Salt Lake, Utah |
| Authorized Official Name and Position | William J Bates (DENTIST) |
| Authorized Official Contact | 8014588720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serene Dentistry Of North Salt Lake, Pllc 761 N Redwood Rd Ste 120 North Salt Lake UT 84054-2894 Ph: (385) 300-8184 | Serene Dentistry Of North Salt Lake, Pllc 761 N Redwood Rd Ste 120 North Salt Lake UT 84054-2894 Ph: (385) 300-8184 |
| NPI Number | 1164156907 |
|---|---|
| Provider Enumeration Date | 07/15/2022 |
| Last Update Date | 09/07/2022 |
| Medicare PECOS PAC ID | 5698158228 |
|---|---|
| Medicare Enrollment ID | O20220815003157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164156907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | William Joseph Bates |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1639426059 PECOS PAC ID: 7315320942 Enrollment ID: I20220815003222 |
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