| Anytime Dental No. 1, Llc | |
|
11576 S State St Suite 1201 Draper UT 84020-6431 | |
| (801) 716-7006 | |
| (801) 716-7070 |
| Full Name | Anytime Dental No. 1, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11576 S State St, Draper, Utah |
| Authorized Official Name and Position | Drake G. Vincent (MANAGING MEMBER) |
| Authorized Official Contact | 8017167006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anytime Dental No. 1, Llc 11576 S State St Suite 1201 Draper UT 84020-6431 Ph: (801) 716-7006 | Anytime Dental No. 1, Llc 11576 S State St Suite 1201 Draper UT 84020-6431 Ph: (801) 716-7006 |
| NPI Number | 1295153831 |
|---|---|
| Provider Enumeration Date | 04/01/2014 |
| Last Update Date | 04/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295153831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4737943 (Utah) | Primary |
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