| Gateway Dental Llc | |
|
202 N Gateway Dr Providence UT 84332-9001 | |
| (435) 752-0605 | |
| (435) 755-8574 |
| Full Name | Gateway Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 202 N Gateway Dr, Providence, Utah |
| Authorized Official Name and Position | Celeste C Mortenson (PRESIDENT) |
| Authorized Official Contact | 4357520605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Dental Llc 202 N Gateway Dr Providence UT 84332-9001 Ph: (435) 512-0133 | Gateway Dental Llc 202 N Gateway Dr Providence UT 84332-9001 Ph: (435) 752-0605 |
| NPI Number | 1376035196 |
|---|---|
| Provider Enumeration Date | 06/06/2018 |
| Last Update Date | 04/13/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376035196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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White Pine Endodontics Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 169 N Gateway Dr Ste 200, Providence, UT 84332 Phone: 435-760-4346 | |
Wasatch Pediatric Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 W 465 N Ste 703, Providence, UT 84332 Phone: 435-999-0234 Fax: 435-363-9151 | |
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