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 |
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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 |
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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 |
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Provider Enumeration Date | 04/29/2014 |
Last Update Date | 04/29/2014 |
Identifier | Type | State | Issuer |
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1285044206 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5923720 (Utah) | Primary |
122300000X | Dentist | 8006231-9922 (Utah) | Secondary |