Organization
PARK CITY ENDODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE POGUE DMD (PRESIDENT)
(801) 652-3700
Entity
Organization
Contact information
Practice address
2750 RASMUSSEN RD STE 102, PARK CITY, UT 84098-5531
(435) 645-7668
Mailing address
2750 RASMUSSEN RD STE 102, PARK CITY, UT 84098-5531
(435) 645-7668
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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