| Gateway Dentistry P.c. | |
|
228 W 200 S Suite 1a Kamas UT 84036 | |
| (435) 783-2273 | |
| (435) 783-4357 |
| Full Name | Gateway Dentistry P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 228 W 200 S Suite 1a, Kamas, Utah |
| Authorized Official Name and Position | Ammon Michael Pitt (DENTIST/PRESIDENT) |
| Authorized Official Contact | 4357832273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Dentistry P.c. 228 W 200 S Suite 1a Kamas UT 84036 Ph: (435) 783-2273 | Gateway Dentistry P.c. 228 W 200 S Suite 1a Kamas UT 84036 Ph: (435) 783-2273 |
| NPI Number | 1255740734 |
|---|---|
| Provider Enumeration Date | 08/08/2014 |
| Last Update Date | 08/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255740734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6508336-9922 (Utah) | Primary |