| Copper Cove Pediatric Dentistry | |
|
3473 W South Jordan Pkwy Ste 3 South Jordan UT 84095-6016 | |
| (801) 446-2080 | |
| (801) 446-2757 |
| Full Name | Copper Cove Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3473 W South Jordan Pkwy Ste 3, South Jordan, Utah |
| Authorized Official Name and Position | Troy Hardy (OWNER) |
| Authorized Official Contact | 8014462080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Copper Cove Pediatric Dentistry 3473 W South Jordan Pkwy Ste 3 South Jordan UT 84095-6016 Ph: (801) 446-2080 | Copper Cove Pediatric Dentistry 3473 W South Jordan Pkwy Ste 3 South Jordan UT 84095-6016 Ph: (801) 446-2080 |
| NPI Number | 1134536907 |
|---|---|
| Provider Enumeration Date | 07/14/2014 |
| Last Update Date | 07/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134536907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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