Arbuckle Dental PC
Organization Active NPI Dental Clinic/Center · Centerville, UT
NPI 1770526873 · NPPES record last updated Oct 25, 2021
Key facts
- NPI
- 1770526873
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- ARBUCKLE DENTAL PC
- Practice address
- 281 S Main St
Centerville, UT 84014-2378 - Phone
- (801) 292-0733
- Fax
- (801) 298-5336
- NPI assigned
- Jun 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Kent Kevin Arbuckle, DDS
- Title
- President
- Phone
- (801) 292-0733
Practitioners 3
-
Kent Kingdon Arbuckle, D.D.S.
-
Kathrine Wallace, R.D.H.
-
Jeffrey Keith Arbuckle, M.D.
National Provider Directory
Locations
281 S Main St
Ste 1
Centerville, UT 84014
Phone (801) 292-0733
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | |||
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
281 S Main St
Centerville, UT 84014-2378
Mailing address
PO Box 1088
Centerville, UT 84014-5088
Phone (801) 292-0733
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770526873 | Medicaid | UT | |
| 528446804006 | Medicaid | UT | |
| 529295479001 | Medicaid | UT | |
| 529196351001 | Medicaid | UT |
Other names
- Arbuckle Dental
Other providers in Centerville, UT
- Advanced Technology Spinal Center, Inc.
- Joshua Alldredge
- Rebecca Esther Allen
- Reagan E. K. Anderson
- David Elliot Anisman
- Jeffrey Gold Arbuckle
- Kent Kevin Arbuckle
- Kent Kingdon Arbuckle
- Lauryn Arsenault
- Mark Ashcraft
All providers in Centerville, UT · Dental Clinic/Center 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, 2021. 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.