| Smile Doctors Of Utah Pc | |
|
705 E 900 S Ste 300 Salt Lake City UT 84105-1281 | |
| (801) 917-4746 | |
| Not Available |
| Full Name | Smile Doctors Of Utah Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 705 E 900 S Ste 300, Salt Lake City, Utah |
| Authorized Official Name and Position | Gregory G Goggans (PRESIDENT) |
| Authorized Official Contact | 7195695715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Doctors Of Utah Pc 5400 Lbj Fwy Ste 800 Dallas TX 75240-1058 Ph: () - | Smile Doctors Of Utah Pc 705 E 900 S Ste 300 Salt Lake City UT 84105-1281 Ph: (801) 917-4746 |
| NPI Number | 1972299162 |
|---|---|
| Provider Enumeration Date | 04/12/2023 |
| Last Update Date | 04/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972299162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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