| Summit Dental Llc | |
|
3225 W Gordon Ave Suite 4 Layton UT 84041-8769 | |
| (801) 547-8800 | |
| Not Available |
| Full Name | Summit Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3225 W Gordon Ave, Layton, Utah |
| Authorized Official Name and Position | Michael A Blamires (OWNER) |
| Authorized Official Contact | 8015478800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Dental Llc 3225 W Gordon Ave Suite 4 Layton UT 84041-8769 Ph: (801) 547-8800 | Summit Dental Llc 3225 W Gordon Ave Suite 4 Layton UT 84041-8769 Ph: (801) 547-8800 |
| NPI Number | 1639244387 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639244387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 361602-9923 (Utah) | Secondary |
| 1223G0001X | Dentist - General Practice | 309191-9922 (Utah) | Primary |
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