| Salt City Orthodontics | |
|
11962 S Anthem Park Blvd Ste 150 Herriman UT 84096-5692 | |
| (801) 900-4748 | |
| Not Available |
| Full Name | Salt City Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 11962 S Anthem Park Blvd Ste 150, Herriman, Utah |
| Authorized Official Name and Position | Matthew Blake Hillstead (OWNER/PARTNER) |
| Authorized Official Contact | 8019004748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salt City Orthodontics 11962 S Anthem Park Blvd Ste 150 Herriman UT 84096-5692 Ph: (801) 900-4748 | Salt City Orthodontics 11962 S Anthem Park Blvd Ste 150 Herriman UT 84096-5692 Ph: (801) 900-4748 |
| NPI Number | 1447004270 |
|---|---|
| Provider Enumeration Date | 04/17/2024 |
| Last Update Date | 04/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447004270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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