| Smilewide Dental Care Pc | |
|
5629 W. 13100 S. Herriman UT 84096 | |
| (801) 446-6889 | |
| (801) 446-6881 |
| Full Name | Smilewide Dental Care Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5629 W. 13100 S., Herriman, Utah |
| Authorized Official Name and Position | Rodney Jonathan Thornell (DOCTOR) |
| Authorized Official Contact | 8014466889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smilewide Dental Care Pc 5629 W. 13100 S. Herriman UT 84096 Ph: (801) 446-6889 | Smilewide Dental Care Pc 5629 W. 13100 S. Herriman UT 84096 Ph: (801) 446-6889 |
| NPI Number | 1376656017 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 05/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376656017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 53235209922 (Utah) | Primary |
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