Dr Carter Timothy Bruett, DDS | |
530 S Wakara Way, Salt Lake City, UT 84108-1213 | |
(801) 631-5779 | |
Not Available |
Full Name | Dr Carter Timothy Bruett |
---|---|
Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Pathology |
Location | 530 S Wakara Way, Salt Lake City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578149001 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 12317468-9923 (Utah) | Secondary |
1223P0106X | Dentist - Oral And Maxillofacial Pathology | 12317468-9923 (Utah) | Primary |
Entity Name | University Of Utah Community Physicians Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598169203 PECOS PAC ID: 9739403569 Enrollment ID: O20150126002118 |
Entity Name | University Of Utah Adult Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
Mailing Address | Practice Location Address |
---|---|
Dr Carter Timothy Bruett, DDS 530 S Wakara Way, Salt Lake City, UT 84108-1213 Ph: (801) 215-9617 | Dr Carter Timothy Bruett, DDS 530 S Wakara Way, Salt Lake City, UT 84108-1213 Ph: (801) 631-5779 |
Dr. Adam Richard Van Leeuwen, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 6936 South 2475 East, 201, Salt Lake City, UT 84121 Phone: 801-943-1612 Fax: 801-942-6008 | |
Robert Kellen Mcwhorter, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 440 W 200 S Ste 275, Salt Lake City, UT 84101 Phone: 801-358-8175 | |
Victor O Pickett, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5255 S 4015 W, Suite 180, Salt Lake City, UT 84118 Phone: 801-968-9003 | |
Kelly D Carroll, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2114 Fort Union Blvd, Salt Lake City, UT 84121 Phone: 801-943-2020 | |
Dr. Oscar Daniel Bluth, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 515 S 1000 E, Suite L-2 West, Salt Lake City, UT 84102 Phone: 801-370-0050 | |
Dr. Michael Reed Slater, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-584-1206 | |
Nielson Kirk Ashton, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2180 E 4500 S Ste 250, Salt Lake City, UT 84117 Phone: 801-272-8609 |