Organization · Type 2 NPI
Main Street Dental of Salt Lake City
Point of Service · Salt Lake City, UT
NPI number
1245607068
Active
Practice location
3195 S Main St Ste 201
Salt Lake City, UT 84115-3749
Mailing address
7922 S Goldenpointe Way
West Jordan, UT 84088-7672
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | None listed |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Other point of service providers in Salt Lake City
About NPI 1245607068
Main Street Dental of Salt Lake City's National Provider Identifier is 1245607068, issued on Aug 27, 2015. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 27, 2015.