|
| |
|
1355 N University Ave Ste 310 Provo UT 84604-2721 | |
| (801) 373-2693 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1355 N University Ave Ste 310, Provo, Utah |
| Authorized Official Name and Position | Christy Hardman (OFFICE MANAGER) |
| Authorized Official Contact | 8013732693 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1355 N University Ave Ste 310 Provo UT 84604-2721 Ph: (801) 373-2693 | 1355 N University Ave Ste 310 Provo UT 84604-2721 Ph: (801) 373-2693 |
| NPI Number | 1063923258 |
|---|---|
| Provider Enumeration Date | 10/16/2017 |
| Last Update Date | 10/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063923258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 275985-9922 (Utah) | Primary |
Blue Mountain Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1675 N 200 W #8a, Provo, UT 84604 Phone: 801-356-7329 | |
Robert L. Hamblin, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3200 N Canyon Rd Ste F, Provo, UT 84604 Phone: 801-377-7200 | |
Jones Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3651 N 100 E Ste 200, Provo, UT 84604 Phone: 801-374-8218 Fax: 801-370-4074 | |
Snowcap Smile Studio Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2230 N. University Pkwy Ste 8b, Provo, UT 84604 Phone: 801-610-7633 Fax: 801-601-8570 | |