| Trapnell Orthodontics | |
|
3610 N University Ave Ste 175 Provo UT 84604-4452 | |
| (801) 344-8887 | |
| (801) 344-8837 |
| Full Name | Trapnell Orthodontics |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3610 N University Ave Ste 175, Provo, Utah |
| Authorized Official Name and Position | Faith Gaskins (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trapnell Orthodontics 3610 N University Ave Ste 175 Provo UT 84604-4452 Ph: (801) 344-8887 | Trapnell Orthodontics 3610 N University Ave Ste 175 Provo UT 84604-4452 Ph: (801) 344-8887 |
| NPI Number | 1366118242 |
|---|---|
| Provider Enumeration Date | 08/19/2021 |
| Last Update Date | 08/19/2021 |
| Certification Date | 08/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366118242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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