| Endodontic Associates | |
|
1434 E 4500 S Ste 201 Salt Lake City UT 84117-4252 | |
| (801) 272-5800 | |
| (801) 272-5897 |
| Full Name | Endodontic Associates |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1434 E 4500 S Ste 201, Salt Lake City, Utah |
| Authorized Official Name and Position | Brian Scott Groneman (ENDODONTIST) |
| Authorized Official Contact | 8012725800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endodontic Associates 1434 E 4500 S Ste 201 Salt Lake City UT 84117-4252 Ph: (801) 272-5800 | Endodontic Associates 1434 E 4500 S Ste 201 Salt Lake City UT 84117-4252 Ph: (801) 272-5800 |
| NPI Number | 1861637308 |
|---|---|
| Provider Enumeration Date | 12/12/2008 |
| Last Update Date | 12/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861637308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 145399923 (Utah) | Primary |
| 1223E0200X | Dentist - Endodontics | 0144898992 (Utah) | Secondary |
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