Mr. Teeth Pllc

NPI #1619834868 in Riverdale, Utah

Provider Information

NPI Number
1619834868
Entity Type
Organization
Organization Name
Mr. Teeth Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 8, 2026
Last Updated
Jan 8, 2026

Practice Location

Address
4099 RIVERDALE RD
State
Utah
ZIP Code
84405-1569
Phone
(385) 405-7044

Authorized Official

Name
CHRISTINE BARBER
Title
PROVIDER ENROLLMENT MANAGER
Phone
(315) 454-6000

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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