| West 56th Dental Associates, Inc | |
|
3444 S 5600 W West Valley City UT 84120-1320 | |
| (801) 964-0444 | |
| (801) 963-1270 |
| Full Name | West 56th Dental Associates, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3444 S 5600 W, West Valley City, Utah |
| Authorized Official Name and Position | Todd Alan Bowman (PRESIDENT) |
| Authorized Official Contact | 8019640444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West 56th Dental Associates, Inc 12045 Lampton View Dr Riverton UT 84065-7834 Ph: (801) 964-0444 | West 56th Dental Associates, Inc 3444 S 5600 W West Valley City UT 84120-1320 Ph: (801) 964-0444 |
| NPI Number | 1669691945 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669691945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 142830 (Utah) | Primary |
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