Full Name | |
---|---|
Speciality | Dentist |
Location | 195 E 100 N, Morgan, Utah |
Authorized Official Name and Position | Lance Crowther (OFFICE MANAGER) |
Authorized Official Contact | 8018296471 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 721 Morgan UT 84050-0721 Ph: (801) 829-6471 | 195 E 100 N Morgan UT 84050-9203 Ph: (801) 829-6471 |
NPI Number | 1205642220 |
---|---|
Provider Enumeration Date | 12/04/2024 |
Last Update Date | 12/04/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205642220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |