Organization
DENTAL CARE CENTER, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT G GOUPIOS D.D.S. (OWNER)
(801) 776-1000
Entity
Organization
Contact information
Practice address
573 NORTH 1000 WEST, CLEARFIELD, UT 84015
(801) 776-1000
(801) 776-5277
Mailing address
573 NORTH 1000 WEST, CLEARFIELD, UT 84015
(801) 776-1000
(801) 776-5277
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1329799922
UT
122300000X
Dentist
Primary
2697229922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528393704001
—
UT
Enumeration date
08/18/2006
Last updated
08/22/2020
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