is a Dental Clinic in Park City, Utah. It is located at 2700 Homestead Rd, Suite # 130, Park City, UT and its contact number is 435-940-9900. The authorized person for is Dr. Benjamin Russell
who is Dentist of the clinic and their contact number is 435-940-9900. The primary license number for is 57294409922 (General Practice) in Utah. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
General Practice Dentistry
Clinic Address:
2700 Homestead Rd, Suite # 130, Park City, Utah, 84098-4857
Phone:
435-940-9900
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Benjamin Russell
Position:
Dentist
Contact Number:
435-940-9900
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1144338575
NPI Enumeration Date:
27 Aug, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
57294409922
Utah
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2700 Homestead Rd, Suite # 130 Park City, Utah
Zip:
84098-4857
Phone Number:
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Patients can reach at 2700 Homestead Rd, Suite # 130, Park City, Utah or can call to book an appointment on 435-940-9900. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.