| Bangerter Dental, Llc | |
|
3672 W South Jordan Pkwy Ste 203 South Jordan UT 84009-7172 | |
| (801) 550-5013 | |
| Not Available |
| Full Name | Bangerter Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 3672 W South Jordan Pkwy Ste 203, South Jordan, Utah |
| Authorized Official Name and Position | Dallis J Zurcher (MEMBER) |
| Authorized Official Contact | 8012688053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bangerter Dental, Llc 6315 S Cobblecrest Rd Holladay UT 84121-2254 Ph: (801) 550-5013 | Bangerter Dental, Llc 3672 W South Jordan Pkwy Ste 203 South Jordan UT 84009-7172 Ph: (801) 550-5013 |
| NPI Number | 1245814169 |
|---|---|
| Provider Enumeration Date | 05/06/2021 |
| Last Update Date | 05/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245814169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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