| Stonehaven Dental - Spanish Fork, Llc | |
|
685 N 920 E Spanish Fork UT 84660-1677 | |
| (502) 254-8500 | |
| Not Available |
| Full Name | Stonehaven Dental - Spanish Fork, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 685 N 920 E, Spanish Fork, Utah |
| Authorized Official Name and Position | Jeff Reibel (CFO) |
| Authorized Official Contact | 5022548500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stonehaven Dental - Spanish Fork, Llc Po Box 437169 Louisville KY 40253-7169 Ph: (502) 254-8501 | Stonehaven Dental - Spanish Fork, Llc 685 N 920 E Spanish Fork UT 84660-1677 Ph: (502) 254-8500 |
| NPI Number | 1922411321 |
|---|---|
| Provider Enumeration Date | 06/04/2014 |
| Last Update Date | 09/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922411321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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