Ut Oms Specialty Dental Services PLLC

A Medicare group practice based in Price, UT: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1850786112), with 3 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1850786112The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
UT
Enrollments
1
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 3 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20220323001638 UT Part B Supplier - Clinic/Group Practice 1376206755

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 3

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).

Sources for this page