| Kenneth R Dibble Dds | |
|
9853 S 700 E Sandy UT 84070-3900 | |
| (801) 572-4430 | |
| (801) 572-5751 |
| Full Name | Kenneth R Dibble Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9853 S 700 E, Sandy, Utah |
| Authorized Official Name and Position | Kenneth R Dibble (OWNER/PRESIDENT) |
| Authorized Official Contact | 8015724430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth R Dibble Dds 9853 S 700 E Sandy UT 84070-3900 Ph: (801) 572-4430 | Kenneth R Dibble Dds 9853 S 700 E Sandy UT 84070-3900 Ph: (801) 572-4430 |
| NPI Number | 1336730324 |
|---|---|
| Provider Enumeration Date | 02/01/2021 |
| Last Update Date | 02/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336730324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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