| Manti Family Dental Clinic | |
|
93 S Main St Manti UT 84642-1350 | |
| (435) 835-4881 | |
| Not Available |
| Full Name | Manti Family Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 93 S Main St, Manti, Utah |
| Authorized Official Name and Position | Leonard R. Aste (PRESIDENT) |
| Authorized Official Contact | 4358354881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manti Family Dental Clinic 93 S Main St Manti UT 84642-1350 Ph: (435) 835-4881 | Manti Family Dental Clinic 93 S Main St Manti UT 84642-1350 Ph: (435) 835-4881 |
| NPI Number | 1033324959 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033324959 | NPI | - | NPPES |
| 529083004011 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 144952-9922 (Utah) | Primary |
Richard S Carlile Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 93 S Main St, Manti, UT 84642 Phone: 435-835-4881 |