Spring Creek Dental Associates, LLC

NPI #1831541341 in Providence, Utah

Provider Information

NPI Number: 1831541341
Entity Type: Organization
Organization Name: Spring Creek Dental Associates, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 8, 2016
Last Updated: Jul 8, 2016

Practice Location

Address: 274 N SPRING CREEK PKWY
City: Providence
State: Utah
ZIP Code: 84332-9775
Phone: (435) 713-0096

Authorized Official

Name: DR. PAUL A MACKLEY
Title: OWNER
Phone: (801) 786-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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