| Stansbury Park Dental Care | |
|
263 Country Clb #103 Stansbury Park UT 84074-9600 | |
| (435) 882-2850 | |
| (435) 843-8852 |
| Full Name | Stansbury Park Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 263 Country Clb, Stansbury Park, Utah |
| Authorized Official Name and Position | James F Mcconnell (OWNER) |
| Authorized Official Contact | 4358822850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stansbury Park Dental Care 263 Country Clb #103 Stansbury Park UT 84074-9600 Ph: (435) 882-2850 | Stansbury Park Dental Care 263 Country Clb #103 Stansbury Park UT 84074-9600 Ph: (435) 882-2850 |
| NPI Number | 1144581307 |
|---|---|
| Provider Enumeration Date | 06/05/2012 |
| Last Update Date | 06/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144581307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 369873 (Utah) | Primary |
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