| Packard Dental Pc | |
|
3505 W 4800 S Roy UT 84067-9461 | |
| (801) 985-3300 | |
| (801) 985-3301 |
| Full Name | Packard Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3505 W 4800 S, Roy, Utah |
| Authorized Official Name and Position | Jonathan D Packard (DENTIST) |
| Authorized Official Contact | 8019853300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Packard Dental Pc 3505 W 4800 S Roy UT 84067 Ph: (801) 985-3300 | Packard Dental Pc 3505 W 4800 S Roy UT 84067-9461 Ph: (801) 985-3300 |
| NPI Number | 1831421155 |
|---|---|
| Provider Enumeration Date | 02/11/2010 |
| Last Update Date | 02/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831421155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2948359922 (Utah) | Primary |
| 1223G0001X | Dentist - General Practice | 72615429921 (Utah) | Secondary |
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