| Delta Family Dentistry | |
|
372 W Main St Delta UT 84624-9221 | |
| (435) 864-2120 | |
| (435) 864-4085 |
| Full Name | Delta Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 372 W Main St, Delta, Utah |
| Authorized Official Name and Position | Leann W Church (OFFICE MANAGER) |
| Authorized Official Contact | 4358642120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Family Dentistry 372 W Main St P.o. Box 695 Delta UT 84624-9221 Ph: (435) 864-2120 | Delta Family Dentistry 372 W Main St Delta UT 84624-9221 Ph: (435) 864-2120 |
| NPI Number | 1891910972 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891910972 | NPI | - | NPPES |
| 52806737201001 | Other | UT | BCBS |
| 166630 | Other | UT | UNITED CONCORDIA |
| 870521915ST1 | Other | UT | EDUCATORS MUTUAL |
| 94276 | Other | UT | DELTA |
| 528067372008 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 267126 (Utah) | Primary |
Blue Mountain Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 S 300 East, Delta, UT 84624 Phone: 435-864-5195 Fax: 435-864-5199 | |
Craig S Church Dds Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 N Center St, Delta, UT 84624 Phone: 435-864-4623 | |
Merit Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 S 300 E, Delta, UT 84624 Phone: 435-864-5195 |