| Alpine Dentists And Specialists Pllc | |
|
20 W Main Street Ct Ste 100 Alpine UT 84004-1889 | |
| (801) 756-3570 | |
| Not Available |
| Full Name | Alpine Dentists And Specialists Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 20 W Main Street Ct Ste 100, Alpine, Utah |
| Authorized Official Name and Position | Grant Stucki (OWNER) |
| Authorized Official Contact | 7207755843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpine Dentists And Specialists Pllc 20 W Main Street Ct Ste 100 Alpine UT 84004-1889 Ph: (801) 756-3570 | Alpine Dentists And Specialists Pllc 20 W Main Street Ct Ste 100 Alpine UT 84004-1889 Ph: (801) 756-3570 |
| NPI Number | 1306489059 |
|---|---|
| Provider Enumeration Date | 10/25/2019 |
| Last Update Date | 10/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306489059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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