Alpine Dentists and Specialists PLLC
Organization Active NPI Oral and Maxillofacial Surgery (Dentist) · Alpine, UT
NPI 1306489059 · NPPES record last updated Oct 25, 2019
Key facts
- NPI
- 1306489059
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- Legal business name
- ALPINE DENTISTS AND SPECIALISTS PLLC
- Practice address
- 20 W Main Street CT Ste 100
Alpine, UT 84004-1889 - Phone
- (801) 756-3570
- NPI assigned
- Oct 25, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Grant Stucki, DDS, MS
- Title
- Owner
- Phone
- (720) 775-5843
Practitioners 1
-
Grant Kimball Stucki, D.D.S., M.S.
National Provider Directory
Locations
20 W Main Street Ct
Ste 100
Alpine, UT 84004
Phone (801) 756-3570
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | Yes |
Addresses
Primary practice location
20 W Main Street CT Ste 100
Alpine, UT 84004-1889
Mailing address
20 W Main Street CT Ste 100
Alpine, UT 84004-1889
Phone (801) 756-3570
Other providers in Alpine, UT
- Alpine Dentistry
- Alpine Dermatology PC
- Alpine Family Medicine LLC
- Alpine Physical Therapy LLC
- Alpine Recovery Lodge LLC
- Alpine Recovery Lodge LLC
All providers in Alpine, UT · Oral and Maxillofacial Surgery (Dentist) in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.