| Tillmann Dental | |
|
5872 S 900 E Ste 202 Salt Lake City UT 84121-1676 | |
| (801) 281-8433 | |
| (801) 281-8455 |
| Full Name | Tillmann Dental |
|---|---|
| Speciality | Dentist |
| Location | 5872 S 900 E, Salt Lake City, Utah |
| Authorized Official Name and Position | Ruediger Tillmann (DENTIST) |
| Authorized Official Contact | 8012818433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tillmann Dental 5872 S 900 E Ste 202 Salt Lake City UT 84121-1676 Ph: (801) 281-8433 | Tillmann Dental 5872 S 900 E Ste 202 Salt Lake City UT 84121-1676 Ph: (801) 281-8433 |
| NPI Number | 1366748121 |
|---|---|
| Provider Enumeration Date | 01/26/2011 |
| Last Update Date | 06/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366748121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 142274 (Utah) | Primary |
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