| Dr Laura Provine, DMD | |
|
3191 S Valley St, Salt Lake City, UT 84109-4274 | |
| (801) 463-6657 | |
| Not Available |
| Full Name | Dr Laura Provine |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 3191 S Valley St, 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 |
|---|---|---|---|
| 1912311879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9070494-9922 (Utah) | Primary |
| 122300000X | Dentist | 9070494-8903 (Utah) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Laura Provine, DMD 3191 S Valley St, Salt Lake City, UT 84109-4274 Ph: (801) 463-6657 | Dr Laura Provine, DMD 3191 S Valley St, Salt Lake City, UT 84109-4274 Ph: (801) 463-6657 |
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 |