| Cache Valley Pediatric Dentistry | |
|
1624 N 200 E Ste 100 Logan UT 84341-3141 | |
| (435) 752-4330 | |
| (435) 752-6330 |
| Full Name | Cache Valley Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1624 N 200 E Ste 100, Logan, Utah |
| Authorized Official Name and Position | Tori Gibbs (OFFICE MANAGER) |
| Authorized Official Contact | 4357524330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cache Valley Pediatric Dentistry 1624 N 200 E Ste 100 Logan UT 84341-3141 Ph: (435) 752-4330 | Cache Valley Pediatric Dentistry 1624 N 200 E Ste 100 Logan UT 84341-3141 Ph: (435) 752-4330 |
| NPI Number | 1962282459 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 10/02/2023 |
| Certification Date | 10/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962282459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | 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 |