Delmont G. Myers, DMD

Individual provider Active NPI General Practice Dentistry · Beaver, UT

NPI 1487772315 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1487772315
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
265200-9922 (UT)
Practice address
885 No, 50 E.
Beaver, UT 84713
Phone
(435) 438-5940
Fax
(435) 438-5918
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
265200-9922UTMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 265200-9922 UT Yes

Addresses

Primary practice location

885 No, 50 E.
Beaver, UT 84713

Mailing address

PO Box 1486
Beaver, UT 84713-1486
Phone (435) 438-5940

Other providers in Beaver, UT

All providers in Beaver, UT · General Practice Dentistry in Utah

Sources for this page

Verify at the official NPI Registry.