| Dental Care Center, Pllc. | |
|
573 North 1000 West Clearfield UT 84015 | |
| (801) 776-1000 | |
| (801) 776-5277 |
| Full Name | Dental Care Center, Pllc. |
|---|---|
| Speciality | Dentist |
| Location | 573 North 1000 West, Clearfield, Utah |
| Authorized Official Name and Position | Robert G Goupios (OWNER) |
| Authorized Official Contact | 8017761000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Care Center, Pllc. 573 North 1000 West Clearfield UT 84015 Ph: (801) 776-1000 | Dental Care Center, Pllc. 573 North 1000 West Clearfield UT 84015 Ph: (801) 776-1000 |
| NPI Number | 1053425918 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053425918 | NPI | - | NPPES |
| 528393704001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2697229922 (Utah) | Primary |
| 122300000X | Dentist | 1329799922 (Utah) | Secondary |
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