| Creek Road Dental Care | |
|
7369 S Creek Rd Sandy UT 84093-6154 | |
| (801) 566-5577 | |
| (801) 566-4848 |
| Full Name | Creek Road Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7369 S Creek Rd, Sandy, Utah |
| Authorized Official Name and Position | Miranda Shirlene Okubo (MEMBER) |
| Authorized Official Contact | 8019162779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creek Road Dental Care 10638 S Carrington St Sandy UT 84094-4949 Ph: (801) 916-2779 | Creek Road Dental Care 7369 S Creek Rd Sandy UT 84093-6154 Ph: (801) 566-5577 |
| NPI Number | 1235818378 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 07/17/2023 |
| Certification Date | 07/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235818378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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