| Robert L. Hamblin, D.d.s. | |
|
3200 N Canyon Rd Ste F Provo UT 84604-4571 | |
| (801) 377-7200 | |
| Not Available |
| Full Name | Robert L. Hamblin, D.d.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3200 N Canyon Rd Ste F, Provo, Utah |
| Authorized Official Name and Position | Robert Hamblin (OWNER) |
| Authorized Official Contact | 8013777200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert L. Hamblin, D.d.s. 3200 N Canyon Rd Ste F Provo UT 84604-4571 Ph: (801) 377-7200 | Robert L. Hamblin, D.d.s. 3200 N Canyon Rd Ste F Provo UT 84604-4571 Ph: (801) 377-7200 |
| NPI Number | 1013111277 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013111277 | NPI | - | NPPES |
| 563949673010 | Medicaid | UT | |
| 670212 | Other | UT | UNITED CONCORDIA ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 141649 (Utah) | Primary |
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