| Tullis & Twitchell Dmd Llc | |
|
5547 S 4015 W Suite 1 Taylorsville UT 84118-4437 | |
| (801) 968-3585 | |
| (801) 968-3586 |
| Full Name | Tullis & Twitchell Dmd Llc |
|---|---|
| Speciality | Dentist |
| Location | 5547 S 4015 W, Taylorsville, Utah |
| Authorized Official Name and Position | Brent Rulon Twitchell (OWNER) |
| Authorized Official Contact | 8019683585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tullis & Twitchell Dmd Llc 5547 S 4015 W Suite 1 Taylorsville UT 84118-4437 Ph: (801) 968-3585 | Tullis & Twitchell Dmd Llc 5547 S 4015 W Suite 1 Taylorsville UT 84118-4437 Ph: (801) 968-3585 |
| NPI Number | 1992913552 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992913552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5665059-9922 (Utah) | Primary |
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