| Sweet Dreams Ut Llc | |
|
11576 S State St Ste 1203 Draper UT 84020-7118 | |
| (801) 619-8664 | |
| (801) 619-8787 |
| Full Name | Sweet Dreams Ut Llc |
|---|---|
| Speciality | Dentist |
| Location | 11576 S State St Ste 1203, Draper, Utah |
| Authorized Official Name and Position | Nelson D Glassett (OWNER) |
| Authorized Official Contact | 8016198664 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sweet Dreams Ut Llc 545 E 12000 S Draper UT 84020-9744 Ph: (801) 209-5335 | Sweet Dreams Ut Llc 11576 S State St Ste 1203 Draper UT 84020-7118 Ph: (801) 619-8664 |
| NPI Number | 1336916519 |
|---|---|
| Provider Enumeration Date | 12/07/2023 |
| Last Update Date | 04/19/2024 |
| Medicare PECOS PAC ID | 4183158538 |
|---|---|
| Medicare Enrollment ID | O20241114004464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336916519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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