| South Valley Pediatric Dentistry | |
|
1795 W 500 S Suite B3 Springville UT 84663-3186 | |
| (801) 489-1301 | |
| Not Available |
| Full Name | South Valley Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1795 W 500 S, Springville, Utah |
| Authorized Official Name and Position | Angie Catmull (OFFICE MANAGER) |
| Authorized Official Contact | 8014891301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Valley Pediatric Dentistry 1795 W. 500 S. Suite B3 Springville UT 84663 Ph: (801) 489-1301 | South Valley Pediatric Dentistry 1795 W 500 S Suite B3 Springville UT 84663-3186 Ph: (801) 489-1301 |
| NPI Number | 1336465830 |
|---|---|
| Provider Enumeration Date | 04/09/2010 |
| Last Update Date | 04/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336465830 | NPI | - | NPPES |
| 582779657001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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