is a Dental Clinic in Midvale, Utah. It is located at 204 Fort Union Blvd Ste 102, Midvale, UT and its contact number is 801-561-9999. The authorized person for is Lindsey R Godwin
who is Practice Administrator of the clinic and their contact number is 801-561-9999. The primary license number for is 3663569921 (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:
204 Fort Union Blvd Ste 102, Midvale, Utah, 84047-5645
Phone:
801-561-9999
Fax:
801-561-9979
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:
Lindsey R Godwin
Position:
Practice Administrator
Contact Number:
801-561-9999
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:
1699916502
NPI Enumeration Date:
23 Mar, 2009
NPI Last Update On:
23 Mar, 2009
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
3663569921
Utah
Primary
General Practice
343288-9922
Utah
Secondary
General Practice
343288-8903
Utah
Secondary
General Practice
366356-8903
Utah
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
204 Fort Union Blvd Ste 102, Midvale, Utah
Zip:
84047-5645
Phone Number:
801-561-9999
Fax Number:
801-561-9979
Patients can reach at 204 Fort Union Blvd Ste 102, Midvale, Utah or can call to book an appointment on 801-561-9999. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.