Organization
COALVILLE DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADY THOMPSON DDS (OWNER)
(801) 349-8304
Entity
Organization
Contact information
Practice address
142 S 50 E STE 103, COALVILLE, UT 84017-5544
(435) 336-8478
Mailing address
142 S 50 E STE 103, COALVILLE, UT 84017-5544
(435) 336-8478
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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