| Superior Smiles Incorporated | |
|
5640 Wasatch Dr Ste E South Ogden UT 84403-4993 | |
| (801) 682-0017 | |
| Not Available |
| Full Name | Superior Smiles Incorporated |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5640 Wasatch Dr Ste E, South Ogden, Utah |
| Authorized Official Name and Position | Alexander Michael Richens (OWNER/MANAGER) |
| Authorized Official Contact | 7026290942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Superior Smiles Incorporated 5640 Wasatch Dr Ste E South Ogden UT 84403-4993 Ph: () - | Superior Smiles Incorporated 5640 Wasatch Dr Ste E South Ogden UT 84403-4993 Ph: (801) 682-0017 |
| NPI Number | 1164038774 |
|---|---|
| Provider Enumeration Date | 09/18/2020 |
| Last Update Date | 09/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164038774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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