| Cm Dental Llc | |
|
10 E State St Ste 1 Lehi UT 84043-1624 | |
| (801) 766-3700 | |
| Not Available |
| Full Name | Cm Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 10 E State St Ste 1, Lehi, Utah |
| Authorized Official Name and Position | Katie Peterson (OFFICE MANAGER) |
| Authorized Official Contact | 8016365792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cm Dental Llc 10 E State St Ste 1 Lehi UT 84043-1624 Ph: (801) 766-3700 | Cm Dental Llc 10 E State St Ste 1 Lehi UT 84043-1624 Ph: (801) 766-3700 |
| NPI Number | 1528742749 |
|---|---|
| Provider Enumeration Date | 06/09/2023 |
| Last Update Date | 02/21/2025 |
| Medicare PECOS PAC ID | 0749710812 |
|---|---|
| Medicare Enrollment ID | O20250205002504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528742749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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