| Stansbury Pediatric Dentistry And Orthodontics | |
|
220 Millpond Suite #106 Stansbury Park UT 84074-9745 | |
| (435) 840-1025 | |
| (435) 882-2680 |
| Full Name | Stansbury Pediatric Dentistry And Orthodontics |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 220 Millpond, Stansbury Park, Utah |
| Authorized Official Name and Position | Trisha Richard Taylor (DENTIST) |
| Authorized Official Contact | 4358401025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stansbury Pediatric Dentistry And Orthodontics Po Box 1249 Tooele UT 84074-1249 Ph: (435) 840-1025 | Stansbury Pediatric Dentistry And Orthodontics 220 Millpond Suite #106 Stansbury Park UT 84074-9745 Ph: (435) 840-1025 |
| NPI Number | 1679754766 |
|---|---|
| Provider Enumeration Date | 11/17/2007 |
| Last Update Date | 11/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679754766 | NPI | - | NPPES |
| 296664784000 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 4753208-9923 (Utah) | Primary |
Families First Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 263 Country Club Dr Ste 104, Stansbury Park, UT 84074 Phone: 801-515-5858 | |
Stansbury Dental And Implant Center Pdc Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 263 Country Club Dr., Suite 103, Stansbury Park, UT 84074 Phone: 432-882-2850 | |
Stansbury Park Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 263 Country Clb, #103, Stansbury Park, UT 84074 Phone: 435-882-2850 Fax: 435-843-8852 | |
Stansbury Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Millpond, Suite #107, Stansbury Park, UT 84074 Phone: 435-843-5437 | |
Families First Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5136 N Cambridge Way, Stansbury Park, UT 84074 Phone: 801-515-5858 | |
Wisdom Teeth Centers Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 263 Country Clb Ste 103, Stansbury Park, UT 84074 Phone: 801-566-8833 | |
Creek Capital Stansbury Park Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Millpond Ste 107, Stansbury Park, UT 84074 Phone: 435-843-5437 |