| Stevenson Pediatric Dentistry P.c. | |
|
4019 W. 12600 S. Suite 200 Riverton UT 84096 | |
| (801) 302-7938 | |
| (801) 302-9409 |
| Full Name | Stevenson Pediatric Dentistry P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4019 W. 12600 S., Riverton, Utah |
| Authorized Official Name and Position | Nathan Daniel Stevenson (OWNER, PRESIDENT) |
| Authorized Official Contact | 8013027938 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stevenson Pediatric Dentistry P.c. 4019 W 12600 S Suite 200 Riverton UT 84096 Ph: (801) 302-7938 | Stevenson Pediatric Dentistry P.c. 4019 W. 12600 S. Suite 200 Riverton UT 84096 Ph: (801) 302-7938 |
| NPI Number | 1578638854 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 11/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578638854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 5863508-9923 (Utah) | Primary |
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