| Young Family Dental Inc | |
|
8159 S. 4800 W. West Jordan UT 84088-8213 | |
| (801) 601-8200 | |
| (801) 996-3641 |
| Full Name | Young Family Dental Inc |
|---|---|
| Speciality | Dentist |
| Location | 8159 S. 4800 W., West Jordan, Utah |
| Authorized Official Name and Position | Susan John (PRACTICE ADMIN) |
| Authorized Official Contact | 8012240222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Young Family Dental Inc 8159 S. 4800 W. West Jordan UT 84088-8213 Ph: (801) 601-8200 | Young Family Dental Inc 8159 S. 4800 W. West Jordan UT 84088-8213 Ph: (801) 601-8200 |
| NPI Number | 1407307986 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 10/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407307986 | NPI | - | NPPES |
| 4766943 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4766943 (Utah) | Primary |
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