Provider / Organization | NPI | Date Certified |
---|---|---|
RODNEY JOHN SLATER | 1619102019 | 2023-01-22 |
Rodney John Slater is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1619102019. Registration indicates Rodney John Slater is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers)
Registration | PART-B:Y DME:Y HHA:Y PMD:N |
Entity Type | Individual |
Provider Name | Dr. Rodney John Slater D.M.D. |
Practice Office Address | 5540 W PISA LN HIGHLAND, UT US |
Practice Office Telephone | 8017228211 |
Practice Office Fax | 5755860519 |
Mailing Address | 5540 W PISA LN HIGHLAND, UT 840034805 US |
Business Telephone | 8017228211 |
Business Fax | 5755860519 |
Code | Practice | License No State |
---|---|---|
122300000X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | 5686807-9922
UT |