Organization
FAMILY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANNER M. CLARK DMD (DIRECTOR/MANAGER/DENTIST)
(208) 317-8555
Entity
Organization
Contact information
Practice address
2500 S STATE ST # 404, SOUTH SALT LAKE, UT 84115-3164
(385) 646-4747
(385) 646-4348
Mailing address
10597 S BEACH COMBER WAY, SOUTH JORDAN, UT 84009-6132
(208) 317-8555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679841811
—
PA
Enumeration date
02/15/2020
Last updated
02/15/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us