| Pinebrook Dental Group | |
|
3080 Pinebrook Rd Suite 2000 Park City UT 84098-5422 | |
| (435) 649-6688 | |
| (435) 649-0654 |
| Full Name | Pinebrook Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 3080 Pinebrook Rd, Park City, Utah |
| Authorized Official Name and Position | Michael Knight (OWNER) |
| Authorized Official Contact | 4356496688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinebrook Dental Group 3080 Pinebrook Rd Suite 2000 Park City UT 84098-5422 Ph: (435) 649-6688 | Pinebrook Dental Group 3080 Pinebrook Rd Suite 2000 Park City UT 84098-5422 Ph: (435) 649-6688 |
| NPI Number | 1114148509 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114148509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 380199 (Utah) | Primary |
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