B. Charles Pugh D.D.S., P.C.
Exclusive Provider Organization in Riverton, UT. Organization (NPI-2).
NPI number1861887838
StatusActive
Last updated in NPPESApr 6, 2015
Details
- NPI
- 1861887838
- Entity type
- Organization (NPI-2)
- Legal business name
- B. Charles Pugh D.D.S., P.C.
- Organization subpart
- No
- Enumeration date
- Apr 6, 2015
- Last updated
- Apr 6, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302F00000X | Exclusive Provider Organization | 140202-9922 | UT | Yes |
Practice location
12694 S Redwood RdRiverton, UT 84065-6605
Phone 801-254-1278 · Fax 801-254-5778
Mailing address
12694 S Redwood RdRiverton, UT 84065-6605
Phone 801-254-1278 · Fax 801-254-5778
Authorized official
Melinda Diamond
Office Manager
8012541278
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