NPI 1861887838

B. Charles Pugh D.D.S., P.C.

Organisation Exclusive Provider Organization Riverton, UT

Practice location

Address: 12694 S Redwood Rd, Riverton, UT 84065-6605
Phone: (801) 254-1278
Fax: (801) 254-5778

Authorised official

Name: Melinda Diamond
Title: Office Manager
Phone: (801) 254-1278

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 140202-9922 (UT)

Other Exclusive Provider Organization providers in Utah →

Registry record

NPI: 1861887838
Entity type: Organization
NPI issued: 6 Apr 2015
Record last updated: 6 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.