institution
Main Street Dental Of Salt Lake City
Point of Service in Salt Lake City, Utah
NPI 1245607068

Main Street Dental Of Salt Lake City is a Point of Service based in West Jordan, UT. Main Street Dental Of Salt Lake City practices in Salt Lake City, UT. The NPI Number for Main Street Dental Of Salt Lake City is 1245607068 and holds a License No. (Utah).

The current practice location address for Main Street Dental Of Salt Lake City is 3195 S Main St Ste 201, Salt Lake City, UT and can be reached out via phone at 801-792-6033.

Location: 3195 S Main St Ste 201, Salt Lake City, UT, 84088-7672
institution
Provider Profile Details
NPI Number
1245607068
Provider Name
Main Street Dental Of Salt Lake City
Credential
Provider Entity Type
Organization
Address
3195 S Main St Ste 201, Salt Lake City, UT, 84088-7672
Phone Number
801-792-6033
Fax Number
Provider Enumeration Date
08/27/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3195 S Main St Ste 201
City
State
Zip
84115-3749
Phone Number
801-792-6033
Fax Number
person
Provider Business Mailing Address Details
Address
3195 S Main St Ste 201
City
State
Zip
84115-3749
Phone Number
801-792-6033
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
License No.
()
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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