| Kids Town Pediatric Dentistry Of Syracuse | |
|
780 S 2000 W Suite #f-2 Syracuse UT 84075-9602 | |
| (801) 776-8176 | |
| (801) 774-9085 |
| Full Name | Kids Town Pediatric Dentistry Of Syracuse |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 780 S 2000 W, Syracuse, Utah |
| Authorized Official Name and Position | Brett Packham (MEMBER) |
| Authorized Official Contact | 8012173359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Town Pediatric Dentistry Of Syracuse 780 S 2000 W Suite #f-2 Syracuse UT 84075-9602 Ph: (801) 776-8176 | Kids Town Pediatric Dentistry Of Syracuse 780 S 2000 W Suite #f-2 Syracuse UT 84075-9602 Ph: (801) 776-8176 |
| NPI Number | 1992179964 |
|---|---|
| Provider Enumeration Date | 11/13/2015 |
| Last Update Date | 11/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992179964 | NPI | - | NPPES |
| 1477728269 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 6362621-9922 (Utah) | Primary |
Vip Tooth Care Center Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 780 S 2000 W, Ste F1, Syracuse, UT 84075 Phone: 801-776-3000 Fax: 801-825-7700 | |
Lakeview Dental Syracuse, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1662 S 2000 W, Ste A1, Syracuse, UT 84075 Phone: 801-825-2273 | |
Families First Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1792 W 1700 S Ste 101, Syracuse, UT 84075 Phone: 801-515-5858 | |
Families First Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1792 W 1700 S Ste 101, Syracuse, UT 84075 Phone: 801-515-5858 | |
Nathan C Cooney Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1792 W 1700 S Ste 203, Syracuse, UT 84075 Phone: 801-779-6037 Fax: 801-820-2774 | |
North Davis Pediatric Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1792 W 1700 S Ste 101, Syracuse, UT 84075 Phone: 801-919-8880 | |
Sbb Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 W 1700 S, Syracuse, UT 84075 Phone: 801-888-4912 |