Timpanogas Pediatric Dentistry | |
25 North 1100 East American Fork UT 84003 | |
(801) 492-1346 | |
(801) 492-1320 |
Full Name | Timpanogas Pediatric Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 25 North 1100 East, American Fork, Utah |
Authorized Official Name and Position | Scott A Jensen (SURGEON) |
Authorized Official Contact | 8014921346 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Timpanogas Pediatric Dentistry 25 North 1100 East American Fork UT 84003 Ph: (801) 492-1346 | Timpanogas Pediatric Dentistry 25 North 1100 East American Fork UT 84003 Ph: (801) 492-1346 |
NPI Number | 1225184625 |
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Provider Enumeration Date | 01/26/2007 |
Last Update Date | 07/15/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225184625 | NPI | - | NPPES |
518047570014 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 3085413-9923 (Utah) | Primary |
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