| Pdc- Lehi Utah | |
|
785 E 200 S Ste 1 Lehl UT 84043 | |
| (801) 331-8545 | |
| (801) 407-1703 |
| Full Name | Pdc- Lehi Utah |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 785 E 200 S, Lehl, Utah |
| Authorized Official Name and Position | Jacob Warner (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8016911701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pdc- Lehi Utah Po Box 970483 Orem UT 84097 Ph: (801) 691-1701 | Pdc- Lehi Utah 785 E 200 S Ste 1 Lehl UT 84043 Ph: (801) 331-8545 |
| NPI Number | 1851722383 |
|---|---|
| Provider Enumeration Date | 12/10/2013 |
| Last Update Date | 07/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851722383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3104344 (Utah) | Primary |