| Bountiful Dental Care | |
|
1512 Renaissance Towne Dr Ste 102 Bountiful UT 84010-7513 | |
| (801) 298-7728 | |
| (801) 292-0910 |
| Full Name | Bountiful Dental Care |
|---|---|
| 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 |
|---|---|
| Bountiful Dental Care 1512 Renaissance Towne Dr Ste 102 Bountiful UT 84010-7513 Ph: (801) 298-7728 | Bountiful Dental Care 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 |
| Certification Date | 07/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154002467 | NPI | - | NPPES |
| 1982085940 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
Bountiful Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 E 500 S, Suite 201, Bountiful, UT 84010 Phone: 801-292-0443 |
Bluetree Dental Studio Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 81 W 500 S, Bountiful, UT 84010 Phone: 801-335-6868 |
Mark H. Blaisdell DDS, PC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 E 500 S, Suite 203, Bountiful, UT 84010 Phone: 801-292-6819 Fax: 801-298-8573 |
Todd C. Liston DDS, MS, PC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 469 Medical Dr, Suite 202, Bountiful, UT 84010 Phone: 801-299-8531 Fax: 801-299-9667 |
Monarch Dental - Bountiful Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 S. 500 West, #a, Bountiful, UT 84010 Phone: 801-296-1617 |
James E Russon DDS PC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 N 250 W, Bountiful, UT 84010 Phone: 801-294-5781 |