Smile Center | |
10 S 300 E Provo UT 84606-3201 | |
(801) 375-8770 | |
(801) 375-0397 |
Full Name | Smile Center |
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Speciality | Clinic/center - Dental |
Location | 10 S 300 E, Provo, Utah |
Authorized Official Name and Position | Robert Nathan Jones (OWNER) |
Authorized Official Contact | 8013758770 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Smile Center 10 S 300 E Provo UT 84606-3201 Ph: (801) 375-8770 | Smile Center 10 S 300 E Provo UT 84606-3201 Ph: (801) 375-8770 |
NPI Number | 1790994465 |
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Provider Enumeration Date | 05/21/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790994465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 5685033 (Utah) | Primary |
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