| Prince Dental Group Pllc | |
|
210 E Main St Ste 201 Midway UT 84049-6817 | |
| (435) 654-2822 | |
| Not Available |
| Full Name | Prince Dental Group Pllc |
|---|---|
| Speciality | Dentist |
| Location | 210 E Main St Ste 201, Midway, Utah |
| Authorized Official Name and Position | David Matthew Prince (OWNER) |
| Authorized Official Contact | 4356542822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prince Dental Group Pllc 210 E Main St Ste 201 Midway UT 84049-6817 Ph: () - | Prince Dental Group Pllc 210 E Main St Ste 201 Midway UT 84049-6817 Ph: (435) 654-2822 |
| NPI Number | 1285044206 |
|---|---|
| Provider Enumeration Date | 04/29/2014 |
| Last Update Date | 04/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285044206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8006231-9922 (Utah) | Secondary |
| 122300000X | Dentist | 5923720 (Utah) | Primary |