| Children's Dental Of Cedar City | |
|
1321 S Providence Center Dr Cedar City UT 84720-7985 | |
| (435) 586-6555 | |
| (435) 586-6602 |
| Full Name | Children's Dental Of Cedar City |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1321 S Providence Center Dr, Cedar City, Utah |
| Authorized Official Name and Position | Jeremy Jack Scholzen (DOCTOR / OWNER) |
| Authorized Official Contact | 4355866555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dental Of Cedar City 201 S 700 W Hurricane UT 84737-2423 Ph: (435) 586-6555 | Children's Dental Of Cedar City 1321 S Providence Center Dr Cedar City UT 84720-7985 Ph: (435) 586-6555 |
| NPI Number | 1457767840 |
|---|---|
| Provider Enumeration Date | 07/07/2014 |
| Last Update Date | 07/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457767840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 6329558-9923 (Utah) | Primary |
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