Dr William Pertti Sundberg, DDS in Holladay, UT - Medicare Dentist Provider

Dr William Pertti Sundberg, DDS is a medicare enrolled "Dentist" provider in Holladay, Utah. His current practice location is 1925 E 5600 S, Holladay, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 278-0458.

Dr William Pertti Sundberg is licensed to practice in Utah (license number 6264637-9922) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821150350.

Contact Information

	Dr William Pertti Sundberg, DDS
	1925 E 5600 S, Holladay, UT 84121
	(801) 278-0458
	Not Available

Healthcare Provider's Profile

Full Name	Dr William Pertti Sundberg
Gender	Male
Speciality	Dentist
Location	1925 E 5600 S, Holladay, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821150350
Provider Enumeration Date: 12/14/2006
Last Update Date: 04/13/2010

Medicare PECOS Information:

PECOS PAC ID: 5395050793
Enrollment ID: I20150813011577

Medical Identifiers

Medical identifiers for Dr William Pertti Sundberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821150350	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	6264637-9922 (Utah)	Primary
1223G0001X	Dentist - General Practice	6264637-9922 (Utah)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr William Pertti Sundberg is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr William Pertti Sundberg, DDS 1925 East 5600 South, Holladay, UT 84121 Ph: (801) 278-0458	Dr William Pertti Sundberg, DDS 1925 E 5600 S, Holladay, UT 84121 Ph: (801) 278-0458

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Dentist in Holladay, UT

Dr. Ralph T Larsen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1949 E 5600 S, Holladay, UT 84121 Phone: 801-277-8395 Fax: 801-277-5443
Dr. Bradley Stephen Walker, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1434 E 4500 S Ste 102, Holladay, UT 84117 Phone: 801-273-5632
David L Christensen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6065 Highland Dr, Suite 1, Holladay, UT 84121 Phone: 801-277-5181 Fax: 801-277-6791
Dr. David S Cannon, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1434 E 4500 S, #202, Holladay, UT 84117 Phone: 801-274-8889 Fax: 801-274-3896
Dr. Jeffrey A. Hill, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6556 S Big Cottonwood Canyon Rd, Suite 500, Holladay, UT 84121 Phone: 801-943-4200 Fax: 801-943-3675
Dr. Andrew Johansen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4970 S 900 E Ste B, Holladay, UT 84117 Phone: 801-261-2013
Dennis Scott Elder, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4110 Highland Dr, Holladay, UT 84124 Phone: 801-278-8800 Fax: 801-274-0124

Dr William Pertti Sundberg, DDS - Medicare Dentist in Holladay, UT