is a Dental Clinic in Draper, Utah. It is located at 668 E 12225 S, Suite 101, Draper, UT and its contact number is 801-553-9824. The authorized person for is Dr. Robert M Lucero
who is Owner President of the clinic and their contact number is 801-553-9824. The primary license number for is 279701-9922 (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:
668 E 12225 S, Suite 101, Draper, Utah, 84020-8340
Phone:
801-553-9824
Fax:
801-553-0471
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. Robert M Lucero
Position:
Owner President
Contact Number:
801-553-9824
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:
1922018050
NPI Enumeration Date:
09 Aug, 2006
NPI Last Update On:
20 Apr, 2017
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
279701-9922
Utah
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
783866
Other
United Concordia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
668 E 12225 S, Suite 101 Draper, Utah
Zip:
84020-8340
Phone Number:
801-553-9824
Fax Number:
801-553-0471
Patients can reach at 668 E 12225 S, Suite 101, Draper, Utah or can call to book an appointment on 801-553-9824. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.