NPI 1114314747 A PERFECT SMILE PRICE UT. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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A Perfect Smile - NPI: 1114314747

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: A PERFECT SMILE
NPI Number: 1114314747
Entity Type Code: Organizational (2)
Authorized Official Name: MARVIN BLANE JACKSON
(PRESIDENT)
Mailing Address: 230 N Fairgrounds Rd
Price
State: UT US
Postal Code: 845014205
Phone Number: 4356372100
Fax Number: 4356375007
NPI Enumeration Date: 04/21/2015
NPI Last Update Date: 04/21/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261QD0000X
License Number: 6605138
Healthcare Provider Taxonomy:
(Secondary)
Y
State: UT
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization: Dental
Taxonomy Definition:


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