| Station Park Dental | |
|
1169 W Clark Lane Ste 101 Farmington UT 84025-2993 | |
| (801) 797-0068 | |
| (801) 260-2110 |
| Full Name | Station Park Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1169 W Clark Lane, Farmington, Utah |
| Authorized Official Name and Position | Ryan Blaine Allen (PROVIDER/OWNER) |
| Authorized Official Contact | 8017970068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Station Park Dental 1169 W Clark Lane Ste 101 Farmington UT 84025-2993 Ph: (801) 797-0068 | Station Park Dental 1169 W Clark Lane Ste 101 Farmington UT 84025-2993 Ph: (801) 797-0068 |
| NPI Number | 1689159147 |
|---|---|
| Provider Enumeration Date | 10/01/2018 |
| Last Update Date | 11/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689159147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Justin T Brown Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 670 W Shepard Lane, #105, Farmington, UT 84025 Phone: 801-447-2001 Fax: 801-447-2003 | |
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