| 39th & 13th Street Dental | |
|
1345 E 3900 S Suite 206 Holladay UT 84124-1474 | |
| (801) 278-1333 | |
| (801) 278-6500 |
| Full Name | 39th & 13th Street Dental |
|---|---|
| Speciality | Dentist |
| Location | 1345 E 3900 S, Holladay, Utah |
| Authorized Official Name and Position | Steven C Pinegar (DENTIST) |
| Authorized Official Contact | 8012781333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 39th & 13th Street Dental 1345 East 3900 South Suite 206 Holladay UT 84124 Ph: (801) 278-1333 | 39th & 13th Street Dental 1345 E 3900 S Suite 206 Holladay UT 84124-1474 Ph: (801) 278-1333 |
| NPI Number | 1780912147 |
|---|---|
| Provider Enumeration Date | 11/24/2009 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780912147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Utah) | Primary |
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