| Mp Dental Llc | |
|
777 N. 500 W. #204 Proud UT 84601 | |
| (801) 374-2182 | |
| (801) 374-0130 |
| Full Name | Mp Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 777 N. 500 W. #204, Proud, Utah |
| Authorized Official Name and Position | Mark D. Mckell (OWNER) |
| Authorized Official Contact | 8013742182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mp Dental Llc 777 N 500 W #204 Proud UT 84601 Ph: (801) 374-2182 | Mp Dental Llc 777 N. 500 W. #204 Proud UT 84601 Ph: (801) 374-2182 |
| NPI Number | 1346723319 |
|---|---|
| Provider Enumeration Date | 09/14/2018 |
| Last Update Date | 09/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346723319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |