| Sg Dental Pllc | |
|
225 Skyhawk Dr Wendover UT 84083-4501 | |
| (801) 718-6881 | |
| Not Available |
| Full Name | Sg Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 225 Skyhawk Dr, Wendover, Utah |
| Authorized Official Name and Position | James Spencer Gruber (DENTIST) |
| Authorized Official Contact | 8017186881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sg Dental Pllc 5778 W 6200 S Kearns UT 84118-7928 Ph: (801) 718-6881 | Sg Dental Pllc 225 Skyhawk Dr Wendover UT 84083-4501 Ph: (801) 718-6881 |
| NPI Number | 1831721240 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 02/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831721240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Wendover Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 Aria Blvd, Wendover, UT 84083 Phone: 435-665-2962 | |
Wendover Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 N Aria Blvd, Wendover, UT 84083 Phone: 435-665-2962 Fax: 435-665-7525 |