| Chisholm Family Dentistry Inc | |
|
30 S Main St Monroe UT 84754 | |
| (435) 527-3555 | |
| (435) 527-3618 |
| Full Name | Chisholm Family Dentistry Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 30 S Main St, Monroe, Utah |
| Authorized Official Name and Position | Richard T Chilsholm (DENTIST OWNER) |
| Authorized Official Contact | 4355273555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chisholm Family Dentistry Inc Po Box 69 30 S Main St Monroe UT 84754 Ph: (435) 527-3555 | Chisholm Family Dentistry Inc 30 S Main St Monroe UT 84754 Ph: (435) 527-3555 |
| NPI Number | 1255499083 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255499083 | NPI | - | NPPES |
| 528376111001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3241439921 (Utah) | Primary |