Dr Todd C Liston, DDS, MS | |
469 Medical Dr Ste 202, Bountiful, UT 84010-8921 | |
(801) 299-8531 | |
(801) 299-9667 |
Full Name | Dr Todd C Liston |
---|---|
Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 469 Medical Dr Ste 202, Bountiful, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598835506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 260605 (Utah) | Primary |
Entity Name | Oral And Maxillofacial Surgeons Of Utah, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780821124 PECOS PAC ID: 2264597541 Enrollment ID: O20090220000193 |
Mailing Address | Practice Location Address |
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Dr Todd C Liston, DDS, MS 469 Medical Dr Ste 202, Bountiful, UT 84010-8921 Ph: (801) 299-8531 | Dr Todd C Liston, DDS, MS 469 Medical Dr Ste 202, Bountiful, UT 84010-8921 Ph: (801) 299-8531 |
Gregory G. Oman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1480 South Orchard Drive, Bountiful, UT 84010 Phone: 801-298-9441 Fax: 801-298-9445 | |
Dr. Joseph Feller, DMD, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 625 E 500 S, Suite 201, Bountiful, UT 84010 Phone: 801-295-3467 Fax: 801-295-5786 | |
Phillip Peter Olsen, DMD Dentist Medicare: Medicare Enrolled Practice Location: 625 E 500 S, Suite 202, Bountiful, UT 84010 Phone: 801-292-4141 | |
Dr. Fred William Luedtke, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1260 S. 500 W., Bountiful, UT 84010 Phone: 801-294-6174 | |
Dr. Zachary Robert Andrews, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 319 S Main St, Bountiful, UT 84010 Phone: 801-295-7171 | |
Dr. George Allen Hibler, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1480 Orchard Dr, 107, Bountiful, UT 84010 Phone: 801-295-5865 Fax: 801-295-5333 | |
Dr. Matthew Hubbard Mackay, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 425 Medical Dr. Suite 211, Bountiful, UT 84010 Phone: 801-397-2323 Fax: 801-397-1119 |