| Ut Specialty Dental Services, Pllc | |
|
497 N Main St Spanish Fork UT 84660-3002 | |
| (801) 798-2100 | |
| Not Available |
| Full Name | Ut Specialty Dental Services, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 497 N Main St, Spanish Fork, Utah |
| Authorized Official Name and Position | Charlotte V Dasch (DIRECTOR OF CRED AND PR) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ut Specialty Dental Services, Pllc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (615) 678-0759 | Ut Specialty Dental Services, Pllc 497 N Main St Spanish Fork UT 84660-3002 Ph: (801) 798-2100 |
| NPI Number | 1851158794 |
|---|---|
| Provider Enumeration Date | 03/05/2024 |
| Last Update Date | 03/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851158794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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