| Pediatric Dental Pc | |
|
1401 N Highway 89 #200 Farmington UT 84025-2745 | |
| (801) 447-5437 | |
| (801) 447-4685 |
| Full Name | Pediatric Dental Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1401 N Highway 89, Farmington, Utah |
| Authorized Official Name and Position | John R. Anderson (OWNER) |
| Authorized Official Contact | 8015405081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Pc 1401 N Highway 89 #200 Farmington UT 84025-2745 Ph: (801) 447-5437 | Pediatric Dental Pc 1401 N Highway 89 #200 Farmington UT 84025-2745 Ph: (801) 447-5437 |
| NPI Number | 1992880710 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992880710 | NPI | - | NPPES |
| 528537398004 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 341292 (Utah) | Primary |
Justin T Brown Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 670 W Shepard Lane, #105, Farmington, UT 84025 Phone: 801-447-2001 Fax: 801-447-2003 | |
Mvp Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1195 W Park Ln Ste 100, Farmington, UT 84025 Phone: 801-682-5810 Fax: 801-298-8573 | |
Justin T Brown Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 670 Shepard Ln Ste 105, Farmington, UT 84025 Phone: 801-447-2001 Fax: 801-447-2003 | |
Rock Hotel Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 88 E State St, Farmington, UT 84025 Phone: 801-451-2341 | |
Station Park Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1060 W Park Ln Ste 110, Farmington, UT 84025 Phone: 801-497-1332 | |
Station Park Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1195 West Park Ln, Farmington, UT 84025 Phone: 801-882-8800 | |
Advanced Dental Specialty Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1838 N 1075 W # 100, Farmington, UT 84025 Phone: 801-923-1011 Fax: 801-923-1022 |