San Juan Dental
Organization Active NPI General Practice Dentistry · Monticello, UT
NPI 1447465141 · NPPES record last updated Jan 22, 2009
Key facts
- NPI
- 1447465141
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 360185 (UT)
- Legal business name
- SAN JUAN DENTAL
- Practice address
- 217 S. 100 W.
Monticello, UT 84535 - Phone
- (435) 587-2528
- Fax
- (435) 587-3585
- NPI assigned
- May 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Gerald O. Miller, DDS
- Title
- Dentist
- Phone
- (435) 587-2528
Practitioners 1
-
Brian James Goodwine, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 139310 | UT | |
| General Practice Dentistry |
1223G0001X | 360185 | UT | Yes |
Addresses
Primary practice location
217 S. 100 W.
Monticello, UT 84535
Mailing address
PO Box 760
Monticello, UT 84535-0760
Phone (435) 587-2528
Other providers in Monticello, UT
- San Juan County
- San Juan County Hospital
- San Juan County Hospital
- San Juan County Hospital
- San Juan County Hospital
- San Juan Pharmacy Monticello Inc.
- San Juan Public Health
- Stetler Ladd Shumway
- Julee Dawn Slade
- Jane Sparks
All providers in Monticello, UT · General Practice Dentistry in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2009. 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.