# B. CHARLES PUGH D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861887838
- **Authorized official:** MS. MELINDA DIAMOND (OFFICE MANAGER)
- **Authorized official phone:** (801) 254-1278

## Contact information

- **Practice address:** 12694 S REDWOOD RD, RIVERTON, UT 84065-6605
- **Practice address phone:** (801) 254-1278
- **Practice address fax:** (801) 254-5778
- **Mailing address:** 12694 S REDWOOD RD, RIVERTON, UT 84065-6605
- **Mailing address phone:** (801) 254-1278
- **Mailing address fax:** (801) 254-5778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 140202-9922 | UT | Yes |

## Other

- **Enumeration date:** 04/06/2015
- **Last updated:** 04/06/2015