| Iverson Dental, Inc. | |
|
2627 N Highway 162 Eden UT 84310-9745 | |
| (801) 745-3882 | |
| (801) 745-6207 |
| Full Name | Iverson Dental, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2627 N Highway 162, Eden, Utah |
| Authorized Official Name and Position | Vern Q. Iverson (OWNER) |
| Authorized Official Contact | 8017453882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iverson Dental, Inc. Po Box 900 Eden UT 84310-0900 Ph: (801) 745-3882 | Iverson Dental, Inc. 2627 N Highway 162 Eden UT 84310-9745 Ph: (801) 745-3882 |
| NPI Number | 1336576818 |
|---|---|
| Provider Enumeration Date | 09/30/2013 |
| Last Update Date | 09/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336576818 | NPI | - | NPPES |
| 1487617940 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1338754-0142 (Utah) | Primary |
Iverson & Larsen Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2627 N Highway 162, Eden, UT 84310 Phone: 801-745-3882 Fax: 801-745-6207 | |
Iverson & Burton Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2627 N Highway 162, Eden, UT 84310 Phone: 801-745-3882 Fax: 801-745-6207 | |
Clw Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2640 N Highway 162, Eden, UT 84310 Phone: 801-745-1100 |