| Nv Dietrich Dentistry Pc | |
|
4099 Riverdale Rd Ste A Riverdale UT 84405-1569 | |
| (385) 405-7044 | |
| Not Available |
| Full Name | Nv Dietrich Dentistry Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4099 Riverdale Rd Ste A, Riverdale, Utah |
| Authorized Official Name and Position | Michelle Jacomino-barnes (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 8002773633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nv Dietrich Dentistry Pc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Nv Dietrich Dentistry Pc 4099 Riverdale Rd Ste A Riverdale UT 84405-1569 Ph: (385) 405-7044 |
| NPI Number | 1598543563 |
|---|---|
| Provider Enumeration Date | 09/20/2023 |
| Last Update Date | 02/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598543563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Affordable Dentures Riverdale P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4035 Riverdale Rd, Suite C, Riverdale, UT 84405 Phone: 801-334-0515 | |
Blue Hills Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4115 Riverdale Rd Ste B, Riverdale, UT 84405 Phone: 801-940-5555 Fax: 385-206-8383 |