| Spring Creek Dental Associates, Llc | |
|
274 N Spring Creek Pkwy Providence UT 84332-9775 | |
| (435) 713-0096 | |
| (435) 713-7090 |
| Full Name | Spring Creek Dental Associates, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 274 N Spring Creek Pkwy, Providence, Utah |
| Authorized Official Name and Position | Paul A Mackley (OWNER) |
| Authorized Official Contact | 8017860500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Creek Dental Associates, Llc 274 N Spring Creek Pkwy Providence UT 84332-9775 Ph: (435) 713-0096 | Spring Creek Dental Associates, Llc 274 N Spring Creek Pkwy Providence UT 84332-9775 Ph: (435) 713-0096 |
| NPI Number | 1831541341 |
|---|---|
| Provider Enumeration Date | 07/08/2016 |
| Last Update Date | 07/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831541341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 144024-9922 (Utah) | Primary |
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