| Grantsville Dental Clinic Pc | |
|
14 N Hale St Grantsville UT 84029-9315 | |
| (435) 884-3476 | |
| (435) 884-6790 |
| Full Name | Grantsville Dental Clinic Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14 N Hale St, Grantsville, Utah |
| Authorized Official Name and Position | Kenneth Glen Killian (GENERAL DENTIST) |
| Authorized Official Contact | 4358843476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grantsville Dental Clinic Pc Po Box 706 14 N. Hale Street Grantsville UT 84029-0706 Ph: (435) 884-3478 | Grantsville Dental Clinic Pc 14 N Hale St Grantsville UT 84029-9315 Ph: (435) 884-3476 |
| NPI Number | 1851478572 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851478572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 135097 (Utah) | Primary |
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› Verified 2 days ago
Frandsen Family Dental Group Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 N Hale St, Grantsville, UT 84029 Phone: 435-884-3002 Fax: 435-884-6790 |