| Arbuckle Dental Pc | |
|
281 S Main St Centerville UT 84014-2378 | |
| (801) 292-0733 | |
| (801) 298-5336 |
| Full Name | Arbuckle Dental Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 281 S Main St, Centerville, Utah |
| Authorized Official Name and Position | Kent Kevin Arbuckle (PRESIDENT) |
| Authorized Official Contact | 8012920733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arbuckle Dental Pc Po Box 1088 Centerville UT 84014-5088 Ph: (801) 292-0733 | Arbuckle Dental Pc 281 S Main St Centerville UT 84014-2378 Ph: (801) 292-0733 |
| NPI Number | 1770526873 |
|---|---|
| Provider Enumeration Date | 06/14/2006 |
| Last Update Date | 10/25/2021 |
| Medicare PECOS PAC ID | 8022409556 |
|---|---|
| Medicare Enrollment ID | O20211216002848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770526873 | NPI | - | NPPES |
| 1770526873 | Medicaid | UT | |
| 528446804006 | Medicaid | UT | |
| 529295479001 | Medicaid | UT | |
| 529196351001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Kent Kevin Arbuckle |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1588693808 PECOS PAC ID: 9739489311 Enrollment ID: I20220131001406 |
| Provider Name | Jeffrey Gold Arbuckle |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1245269687 PECOS PAC ID: 0143612960 Enrollment ID: I20220131001557 |
Paul M Huffaker, Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 S Main St, Suite #4, Centerville, UT 84014 Phone: 385-245-8247 | |
Pitt Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 281 South Main, Centerville, UT 84014 Phone: 801-295-6192 Fax: 801-295-6011 | |
Centerville Dental Group, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 W Parrish Ln, Suite 101, Centerville, UT 84014 Phone: 801-298-3230 Fax: 801-298-3231 | |
Brad Huffaker Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 S Main St, Centerville, UT 84014 Phone: 801-292-5172 |