Organization
SPRING CREEK DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL A MACKLEY (OWNER)
(801) 786-0500
Entity
Organization
Contact information
Practice address
274 N SPRING CREEK PKWY, PROVIDENCE, UT 84332-9775
(435) 713-0096
(435) 713-7090
Mailing address
274 N SPRING CREEK PKWY, PROVIDENCE, UT 84332-9775
(435) 713-0096
(435) 713-7090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
144024-9922
UT
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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