| Gregory W Egbert Dds Msd Pc | |
|
1250 E 3900 So Ste 210 Slc UT 84124-1367 | |
| (801) 265-1500 | |
| (801) 265-1523 |
| Full Name | Gregory W Egbert Dds Msd Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1250 E 3900 So, Slc, Utah |
| Authorized Official Name and Position | Gregory William Egbert (OWNER) |
| Authorized Official Contact | 8012651500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory W Egbert Dds Msd Pc 1250 E 3900 So Ste 210 Slc UT 84124-1367 Ph: (801) 265-1500 | Gregory W Egbert Dds Msd Pc 1250 E 3900 So Ste 210 Slc UT 84124-1367 Ph: (801) 265-1500 |
| NPI Number | 1023040763 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023040763 | NPI | - | NPPES |
| 528706087022 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 143512 (Utah) | Primary |
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