| Rallison Dental Llc | |
|
183 N Main St Clearfield UT 84015-2395 | |
| (801) 825-1822 | |
| Not Available |
| Full Name | Rallison Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 183 N Main St, Clearfield, Utah |
| Authorized Official Name and Position | Tyler Monty Rallison (GENERAL DENTIST) |
| Authorized Official Contact | 8016636451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rallison Dental Llc 183 N Main St Clearfield UT 84015-2395 Ph: (801) 825-1822 | Rallison Dental Llc 183 N Main St Clearfield UT 84015-2395 Ph: (801) 825-1822 |
| NPI Number | 1205401973 |
|---|---|
| Provider Enumeration Date | 05/25/2021 |
| Last Update Date | 07/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205401973 | NPI | - | NPPES |
| 1891144739 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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