| Simply Smiles Dental Utah | |
|
2592 S 5600 W Ste 102 West Valley City UT 84120-1274 | |
| (801) 613-2904 | |
| Not Available |
| Full Name | Simply Smiles Dental Utah |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2592 S 5600 W Ste 102, West Valley City, Utah |
| Authorized Official Name and Position | Alisynn Dickson (OWNER) |
| Authorized Official Contact | 8016132904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simply Smiles Dental Utah 2592 S 5600 W Ste 102 West Valley City UT 84120-1274 Ph: (801) 613-2904 | Simply Smiles Dental Utah 2592 S 5600 W Ste 102 West Valley City UT 84120-1274 Ph: (801) 613-2904 |
| NPI Number | 1124664834 |
|---|---|
| Provider Enumeration Date | 11/18/2019 |
| Last Update Date | 01/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124664834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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