Dhew Ind Hlth Svcs & Mntl Hlth Svcs is a dental clinic (Dentist) in Fort Duchesne, Utah. The current practice location for Dhew Ind Hlth Svcs & Mntl Hlth Svcs is 6822 E 1000 South, Fort Duchesne, Utah. For appointments, you can reach them via phone at
(435) 722-5122. The mailing address for Dhew Ind Hlth Svcs & Mntl Hlth Svcs is 6822 E. 1000 South, Fort Duchesne, Utah and phone number is (435) 722-5122.
Dhew Ind Hlth Svcs & Mntl Hlth Svcs is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1730341215. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(435) 722-5122.
Dental Care Clinic Profile
| Full Name | Dhew Ind Hlth Svcs & Mntl Hlth Svcs |
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| Speciality | Dentist |
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| Location | 6822 E 1000 South, Fort Duchesne, Utah |
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| Authorized Official Name and Position | Delbert Gary Martin (CHIEF PHARMACIST) |
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| Authorized Official Contact | 4357256874 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dhew Ind Hlth Svcs & Mntl Hlth Svcs
6822 E. 1000 South
Fort Duchesne
UT 84026
Ph: (435) 722-5122 | Dhew Ind Hlth Svcs & Mntl Hlth Svcs
6822 E 1000 South
Fort Duchesne
UT 84026
Ph: (435) 722-5122 |
NPI Details:
| NPI Number | 1730341215 |
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| Provider Enumeration Date | 06/26/2008 |
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| Last Update Date | 04/04/2013 |
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Medical Identifiers
Medical identifiers for Dhew Ind Hlth Svcs & Mntl Hlth Svcs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730341215 | NPI | - | NPPES |
| AZ0522260 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 700000000009 | Medicaid | UT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
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