South Mountain Dental | |
12288 S 900 E Draper UT 84020 | |
(801) 501-0209 | |
Not Available |
Full Name | South Mountain Dental |
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Speciality | Dentist - General Practice |
Location | 12288 S 900 E, Draper, Utah |
Authorized Official Name and Position | Christopher S. Johnson (OWNER) |
Authorized Official Contact | 8015010209 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South Mountain Dental 12288 S 900 E Draper UT 84020 Ph: (801) 501-0209 | South Mountain Dental 12288 S 900 E Draper UT 84020 Ph: (801) 501-0209 |
NPI Number | 1316158314 |
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Provider Enumeration Date | 05/24/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316158314 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3749919922 (Utah) | Primary |
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