| A Perfect Smile | |
|
230 N Fairgrounds Rd Price UT 84501-4205 | |
| (435) 637-2100 | |
| (435) 637-5007 |
| Full Name | A Perfect Smile |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 230 N Fairgrounds Rd, Price, Utah |
| Authorized Official Name and Position | Marvin Blane Jackson (PRESIDENT) |
| Authorized Official Contact | 8012102568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Perfect Smile 230 N Fairgrounds Rd Price UT 84501-4205 Ph: (435) 637-2100 | A Perfect Smile 230 N Fairgrounds Rd Price UT 84501-4205 Ph: (435) 637-2100 |
| NPI Number | 1114314747 |
|---|---|
| Provider Enumeration Date | 04/21/2015 |
| Last Update Date | 04/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114314747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6605138 (Utah) | Primary |