| Pony Express Dental LLC | |
|
1308 E. Eagle Mountain Blvd Eagle Mountain UT 84005 | |
| (801) 876-7669 | |
| Not Available |
| Full Name | Pony Express Dental LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1308 E. Eagle Mountain Blvd, Eagle Mountain, Utah |
| Authorized Official Name and Position | Michael S Tornow (COO) |
| Authorized Official Contact | 5059474252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pony Express Dental LLC 219 E 12300 S Suite I-5 Draper UT 84020-6970 Ph: (801) 789-7669 | Pony Express Dental LLC 1308 E. Eagle Mountain Blvd Eagle Mountain UT 84005 Ph: (801) 876-7669 |
| NPI Number | 1609315480 |
|---|---|
| Provider Enumeration Date | 02/14/2017 |
| Last Update Date | 03/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609315480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5015649 (Utah) | Primary |
Kids Dental Barn Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3688 Campus Dr Ste 220, Eagle Mountain, UT 84005 Phone: 801-341-7999 |
Stonehaven Dental - Eagle Mountain Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3566 E Pony Express Pkwy Ste 1, Eagle Mountain, UT 84005 Phone: 502-254-8500 |
Ranches Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3435 E Pony Express Parkway, Suite 110, Eagle Mountain, UT 84005 Phone: 801-310-6777 |
Lake Mountain Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4342 E Pony Express Pkwy Ste 100, Eagle Mountain, UT 84005 Phone: 801-830-4486 |
Temple Hill Orthodontic Services PLLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4317 N Pony Express Pkwy Ste 210, Eagle Mountain, UT 84005 Phone: 801-762-6400 |
Lake Mountain Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4342 E Pony Express Pkwy Ste 100, Eagle Mountain, UT 84005 Phone: 505-947-4253 |