| Wade Peers Dds Pc | |
|
2750 Rasmussen Rd Ste 106 Park City UT 84098-5401 | |
| (435) 615-9840 | |
| (435) 615-9842 |
| Full Name | Wade Peers Dds Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2750 Rasmussen Rd Ste 106, Park City, Utah |
| Authorized Official Name and Position | Wade A Peers (OWNER) |
| Authorized Official Contact | 4356159840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wade Peers Dds Pc 2750 Rasmussen Rd Ste 106 Park City UT 84098-5401 Ph: (435) 615-9840 | Wade Peers Dds Pc 2750 Rasmussen Rd Ste 106 Park City UT 84098-5401 Ph: (435) 615-9840 |
| NPI Number | 1639401532 |
|---|---|
| Provider Enumeration Date | 02/03/2010 |
| Last Update Date | 03/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639401532 | NPI | - | NPPES |
| 000063649 | Other | UT | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 98362987 (Utah) | Primary |
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