| Swan Pediatric Dental | |
|
601 N State Road 198 Salem UT 84653-4504 | |
| (801) 423-7969 | |
| Not Available |
| Full Name | Swan Pediatric Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 601 N State Road 198, Salem, Utah |
| Authorized Official Name and Position | Matthew Allen Swan (OWNER) |
| Authorized Official Contact | 8017188348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swan Pediatric Dental 1177 W 1960 N Pleasant Grove UT 84062-4039 Ph: (801) 718-8348 | Swan Pediatric Dental 601 N State Road 198 Salem UT 84653-4504 Ph: (801) 423-7969 |
| NPI Number | 1841763513 |
|---|---|
| Provider Enumeration Date | 01/06/2019 |
| Last Update Date | 01/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841763513 | NPI | - | NPPES |
| 1336405315 | Medicaid | UT |
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