| American Fork Family Dental, Inc. | |
|
321 E 300 N American Fork UT 84003-1790 | |
| (801) 756-0933 | |
| Not Available |
| Full Name | American Fork Family Dental, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 321 E 300 N, American Fork, Utah |
| Authorized Official Name and Position | Scott A. Tracy (PRESIDENT) |
| Authorized Official Contact | 8017560933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| American Fork Family Dental, Inc. 321 E 300 N American Fork UT 84003-1790 Ph: (801) 756-0933 | American Fork Family Dental, Inc. 321 E 300 N American Fork UT 84003-1790 Ph: (801) 756-0933 |
| NPI Number | 1558553776 |
|---|---|
| Provider Enumeration Date | 08/11/2007 |
| Last Update Date | 08/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558553776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 145854-9922 (Utah) | Primary |
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