| Wasatch Dental Association, P.C. | |
|
1245 Capitol St Suite 106-s Ogden UT 84401-2847 | |
| (801) 394-0401 | |
| (801) 394-0644 |
| Full Name | Wasatch Dental Association, P.C. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1245 Capitol St, Ogden, Utah |
| Authorized Official Name and Position | Laurence R Palmer (OWNER) |
| Authorized Official Contact | 8013940401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wasatch Dental Association, P.C. 1245 Capitol St Suite 106-s Ogden UT 84401-2847 Ph: (801) 394-0401 | Wasatch Dental Association, P.C. 1245 Capitol St Suite 106-s Ogden UT 84401-2847 Ph: (801) 394-0401 |
| NPI Number | 1639479488 |
|---|---|
| Provider Enumeration Date | 10/27/2010 |
| Last Update Date | 10/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639479488 | NPI | - | NPPES |
| 518883937000 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 144526 (Utah) | Primary |
Eric G Russell DDS LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5685 S 1475 E Ste 4a, Ogden, UT 84403 Phone: 801-475-4646 |
James Healy DDS Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 548 12th St, Ogden, UT 84404 Phone: 801-394-0808 Fax: 801-392-2176 |
Wasatch Advanced Dental Care LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3590 Harrison Blvd Suite #1, Ogden, UT 84403 Phone: 801-621-4800 Fax: 801-340-9561 |
Mvdc Ogden LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3915 Ogden Ave, Ogden, UT 84403 Phone: 801-392-1000 Fax: 801-923-6218 |
Dr. Matthew Miller, DDS Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5742 S 1475 E Ste 100, Ogden, UT 84403 Phone: 801-392-2182 Fax: 801-393-5869 |
Broadbent Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2707 N 400 E, Ogden, UT 84414 Phone: 801-782-4762 |