| Mountain Sky Dental Llc | |
|
5640 South Wasatch Dr Ste A So. Ogden UT 84403 | |
| (385) 244-1530 | |
| (385) 244-1530 |
| Full Name | Mountain Sky Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 5640 South Wasatch Dr Ste A, So. Ogden, Utah |
| Authorized Official Name and Position | Randall J Kelley (OWNER) |
| Authorized Official Contact | 3852441530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Sky Dental Llc 5640 South Wasatch Dr Ste A So. Ogden UT 84403 Ph: (385) 244-1530 | Mountain Sky Dental Llc 5640 South Wasatch Dr Ste A So. Ogden UT 84403 Ph: (385) 244-1530 |
| NPI Number | 1720655194 |
|---|---|
| Provider Enumeration Date | 06/05/2021 |
| Last Update Date | 06/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720655194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |