| Dr David M Prince, DDS | |
|
210 E Main St Ste 201, Midway, UT 84049-6806 | |
| (435) 654-2822 | |
| (435) 654-3949 |
| Full Name | Dr David M Prince |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 210 E Main St Ste 201, Midway, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487661534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5923720-9922 (Utah) | Primary |
| Entity Name | Yakutat Tribal Health Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871529628 PECOS PAC ID: 4981968369 Enrollment ID: O20180511000635 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David M Prince, DDS 210 E Main St Ste 201, Midway, UT 84049-6806 Ph: (435) 654-2822 | Dr David M Prince, DDS 210 E Main St Ste 201, Midway, UT 84049-6806 Ph: (435) 654-2822 |
Samantha Lynn Gudeahn-alleano, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 210 E Main St Ste 201, Midway, UT 84049 Phone: 435-654-2822 | |
Ryan Smuin, Dentist Medicare: Not Enrolled in Medicare Practice Location: 210 E Main St Ste 201, Midway, UT 84049 Phone: 435-654-2822 | |
Spencer N Diehl, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 210 E Main St Ste 201, Midway, UT 84049 Phone: 435-654-2822 | |
Dr. Jack L Brauer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 450 Bern Way, Midway, UT 84049 Phone: 619-840-7080 |