Organization
HILLSIDE DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD KENT SCOVILLE DDS (OWNER)
(801) 776-8441
Entity
Organization
Contact information
Practice address
466 N MAIN ST, #101, CLEARFIELD, UT 84015-3222
(801) 776-8441
(801) 776-8428
Mailing address
644 N MAIN STREET, #101, CLEARFIELD, UT 84015-3238
(801) 776-8441
(801) 776-8428
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4974568-0160
UT
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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