| Silver Ridge Dental Care | |
|
1291 W 12600 S Ste 104 Riverton UT 84065-7130 | |
| (801) 254-4161 | |
| Not Available |
| Full Name | Silver Ridge Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1291 W 12600 S Ste 104, Riverton, Utah |
| Authorized Official Name and Position | Bradley Edward Devries (OWNER) |
| Authorized Official Contact | 8016943106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Ridge Dental Care 1291 W 12600 S Ste 104 Riverton UT 84065-7130 Ph: (801) 254-4161 | Silver Ridge Dental Care 1291 W 12600 S Ste 104 Riverton UT 84065-7130 Ph: (801) 254-4161 |
| NPI Number | 1073321204 |
|---|---|
| Provider Enumeration Date | 12/19/2024 |
| Last Update Date | 12/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073321204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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