| Professional Dental Circleville Llc | |
|
110 South 100 East Circleville UT 84723 | |
| (801) 785-8000 | |
| Not Available |
| Full Name | Professional Dental Circleville Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 110 South 100 East, Circleville, Utah |
| Authorized Official Name and Position | Robert D Hack (OWNER) |
| Authorized Official Contact | 8017858000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Circleville Llc Po Box 1806 Orem UT 84059-1806 Ph: (801) 785-8000 | Professional Dental Circleville Llc 110 South 100 East Circleville UT 84723 Ph: (801) 785-8000 |
| NPI Number | 1619551496 |
|---|---|
| Provider Enumeration Date | 05/08/2021 |
| Last Update Date | 05/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619551496 | NPI | - | NPPES |
| 1942396643 | Other | UT | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Myers Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S 100 E, Circleville, UT 84723 Phone: 435-201-0347 |