Stansbury Park Dental Care
NPI #1144581307 in Stansbury Park, Utah
Provider Information
- NPI Number
- 1144581307
- Entity Type
- Organization
- Organization Name
- Stansbury Park Dental Care
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 5, 2012
- Last Updated
- Jun 5, 2012
Practice Location
- Address
- 263 COUNTRY CLB
- Address 2
- #103
- City
- Stansbury Park
- State
- Utah
- ZIP Code
- 84074-9600
- Phone
- (435) 882-2850
Authorized Official
- Name
- DR. JAMES F MCCONNELL III, DMD
- Title
- OWNER
- Phone
- (435) 882-2850
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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