| Cache Valley Dental Associates Llc | |
|
120 W Cache Valley Blvd Ste 200 Logan UT 84341-2697 | |
| (435) 753-7563 | |
| Not Available |
| Full Name | Cache Valley Dental Associates Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 120 W Cache Valley Blvd Ste 200, Logan, Utah |
| Authorized Official Name and Position | Anthony Larson (OWNER/REGISTERED AGENT) |
| Authorized Official Contact | 4352321232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cache Valley Dental Associates Llc 2797 N Highway 89 Ste 300 Pleasant View UT 84404-1232 Ph: (801) 786-0500 | Cache Valley Dental Associates Llc 120 W Cache Valley Blvd Ste 200 Logan UT 84341-2697 Ph: (435) 753-7563 |
| NPI Number | 1295398352 |
|---|---|
| Provider Enumeration Date | 04/15/2019 |
| Last Update Date | 04/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295398352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Raymond Scott Hlavaty Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 E 200 No, Ste A, Logan, UT 84321 Phone: 435-753-2828 Fax: 435-753-3628 | |
Cache Valley Oral & Facial Surgery, Inc. Dental Clinic Medicare: Medicare Enrolled Practice Location: 1320 N 600 E, Suite 3, Logan, UT 84341 Phone: 435-752-5681 Fax: 435-752-5744 | |
Dr. Gary Foster Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 E 200 N, Logan, UT 84321 Phone: 435-752-0300 | |
Sterling Endodontics Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 E 200 N Ste G, Logan, UT 84321 Phone: 435-753-7668 | |
Larry T Hogge Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1230 N 200 E, Logan, UT 84341 Phone: 435-752-4134 Fax: 435-752-1020 | |
M. Andrew Johnson D.d.s. Lc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1153 N Main St, Suite B-150, Logan, UT 84341 Phone: 435-752-2153 | |
Thomson Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 N 400 E Ste 3, Logan, UT 84341 Phone: 435-752-1320 Fax: 435-750-6432 |