| Stonehaven Dental - Eagle Mountain | |
|
3566 E Pony Express Pkwy Ste 1 Eagle Mountain UT 84005-5680 | |
| (502) 254-8500 | |
| Not Available |
| Full Name | Stonehaven Dental - Eagle Mountain |
|---|---|
| Speciality | Dentist |
| Location | 3566 E Pony Express Pkwy Ste 1, Eagle Mountain, Utah |
| Authorized Official Name and Position | Jeff Reibel (CFO) |
| Authorized Official Contact | 5022548500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stonehaven Dental - Eagle Mountain Po Box 437169 Louisville KY 40253-7169 | Stonehaven Dental - Eagle Mountain 3566 E Pony Express Pkwy Ste 1 Eagle Mountain UT 84005-5680 Ph: (502) 254-8500 |
| NPI Number | 1457828147 |
|---|---|
| Provider Enumeration Date | 10/31/2018 |
| Last Update Date | 09/05/2023 |
| Certification Date | 09/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457828147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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