| Matthew S. Brinkerhoff, P.c. | |
|
1512 Renaissance Towne Dr Ste 102 Bountiful UT 84010-7513 | |
| (801) 298-7728 | |
| (801) 292-0910 |
| Full Name | Matthew S. Brinkerhoff, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 1512 Renaissance Towne Dr Ste 102, Bountiful, Utah |
| Authorized Official Name and Position | Matthew S Brinkerhoff (DENTIST OWNER) |
| Authorized Official Contact | 8012987728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew S. Brinkerhoff, P.c. 1512 Renaissance Towne Dr Ste 102 Bountiful UT 84010-7513 Ph: (801) 298-7728 | Matthew S. Brinkerhoff, P.c. 1512 Renaissance Towne Dr Ste 102 Bountiful UT 84010-7513 Ph: (801) 298-7728 |
| NPI Number | 1154002467 |
|---|---|
| Provider Enumeration Date | 07/28/2023 |
| Last Update Date | 07/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154002467 | NPI | - | NPPES |
| 1982085940 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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