Organization
SILVER CREEK DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT M CHANDLER D.M.D (PRESIDENT)
(801) 465-1810
Entity
Organization
Contact information
Practice address
675 S 100 W, SUITE 1, PAYSON, UT 84651-2883
(801) 465-1810
Mailing address
675 S 100 W, SUITE 1, PAYSON, UT 84651-2883
(801) 465-1810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7526337-9922
UT
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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