Basin Family Dentistry, Pc

NPI 1306901566 - Dentist - 1223G0001X

NPI Details
NPI 1306901566
Enumeration Date 12/27/2006
Last Updated 09/17/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GREGORY GEORGE GREGORY
Position PRESIDENT
Phone (435) 722-2111
Fax (435) 722-2005
Practice Location
209 W 200 N
71-2
ROOSEVELT UT, 84066-2835, US
Phone (435) 722-2111
Fax (435) 722-2005
Business Location
209 W 200 N
71-2
ROOSEVELT UT, 84066-2835, US
Phone (435) 722-2111
Fax (435) 722-2005
Toxanomy
Taxonomy Code 1223G0001X
License State Utah
License Number 142333-9922
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According to our database, Basin Family Dentistry, Pc NPI is 1306901566, taxonomy code is 1223G0001X and license number is 142333-9922, license state is located at Utah. Basin Family Dentistry, Pc physically located at 209 W 200 N, Roosevelt UT, 84066-2835. NPI Number 1033115704 has the healthcare provider type.

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1306901566 NPI number is provided on an as is basis without warranty of any kind. 1306901566 is maintained by the National Plan & Provider Enumeration System. The contents of Basin Family Dentistry, Pc are for informational purposes only.