| Pony Express Dental Of Alpine | |
|
20 W Main Street Ct Ste 100 Alpine UT 84004-1889 | |
| (801) 845-7760 | |
| Not Available |
| Full Name | Pony Express Dental Of Alpine |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 20 W Main Street Ct Ste 100, Alpine, Utah |
| Authorized Official Name and Position | Janet Jensen (DIRECTOR OF FINANCE AND OPERATIONS) |
| Authorized Official Contact | 8018457760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pony Express Dental Of Alpine 5396 W Daybreak Pkwy South Jordan UT 84009-5900 Ph: (801) 845-7760 | Pony Express Dental Of Alpine 20 W Main Street Ct Ste 100 Alpine UT 84004-1889 Ph: (801) 845-7760 |
| NPI Number | 1932714516 |
|---|---|
| Provider Enumeration Date | 09/10/2020 |
| Last Update Date | 09/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932714516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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