| Alpine Surgical Arts, Pc | |
|
3300 N Running Creek Way Building H, Suite 210 Lehi UT 84043 | |
| (801) 766-4834 | |
| (801) 766-2315 |
| Full Name | Alpine Surgical Arts, Pc |
|---|---|
| Speciality | Dentist |
| Location | 3300 N Running Creek Way, Lehi, Utah |
| Authorized Official Name and Position | Tate Lott Viehweg (OWNER) |
| Authorized Official Contact | 8017664834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpine Surgical Arts, Pc 3300 N Running Creek Way Building H, Suite 210 Lehi UT 84043 Ph: (801) 766-4834 | Alpine Surgical Arts, Pc 3300 N Running Creek Way Building H, Suite 210 Lehi UT 84043 Ph: (801) 766-4834 |
| NPI Number | 1003143413 |
|---|---|
| Provider Enumeration Date | 11/05/2009 |
| Last Update Date | 10/23/2020 |
| Medicare PECOS PAC ID | 8426196494 |
|---|---|
| Medicare Enrollment ID | O20091111000574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003143413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 6632857 (Utah) | Primary |
| Provider Name | Tate L Viehweg |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1063492981 PECOS PAC ID: 5799823761 Enrollment ID: I20091111000569 |
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