Luis Gamarra, | |
3954 E Eagle Top Ct, Eagle Mountain, UT 84005-5003 | |
(801) 214-5852 | |
Not Available |
Full Name | Luis Gamarra |
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Gender | Male |
Speciality | Dentist |
Location | 3954 E Eagle Top Ct, Eagle Mountain, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205572120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 12835658-9921 (Utah) | Primary |
Entity Name | Sebasticook Family Doctors |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063464634 PECOS PAC ID: 8224924576 Enrollment ID: O20040527000160 |
Mailing Address | Practice Location Address |
---|---|
Luis Gamarra, 3954 E Eagle Top Ct, Eagle Mountain, UT 84005-5003 Ph: (801) 214-5852 | Luis Gamarra, 3954 E Eagle Top Ct, Eagle Mountain, UT 84005-5003 Ph: (801) 214-5852 |
Bart Travis Gardiner, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3688 East Campus Drive, Eagle Mountain, UT 84005 Phone: 801-789-4414 Fax: 801-789-4415 | |
Karli Caldwell, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3566 E Pony Express Pkwy, Eagle Mountain, UT 84005 Phone: 801-789-7500 | |
Dr. Brennan Stringam, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3700 E Campus Dr Ste 200a, Eagle Mountain, UT 84005 Phone: 801-789-4414 | |
Michael S Tornow, DMD Dentist Medicare: Medicare Enrolled Practice Location: 4342 E Pony Express Pkwy, Eagle Mountain, UT 84005 Phone: 505-947-4253 Fax: 385-449-9948 | |
Dr. Richard Allen Baldwin, DMD Dentist Medicare: Medicare Enrolled Practice Location: 3435 E Pony Express Parkway, Suite 110, Eagle Mountain, UT 84005 Phone: 801-310-6777 | |
Dr. Christopher Scott Procopio, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7844 N Apache Ln, Eagle Mountain, UT 84005 Phone: 801-319-3277 |