OrganizationActive
Alpine Dentists and Specialists PLLC
NPI 1306489059 · Oral and Maxillofacial Surgery (Dentist) · Alpine, UT
Provider details
- NPI number
- 1306489059
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Grant Stucki, Owner(720) 775-5843
Specialties & taxonomies
Dental Providers
Practice location
20 W Main Street Ct Ste 100
Alpine, UT 84004-1889
Phone: (801) 756-3570
Approximate (ZIP-level) locationGet directions
Mailing address
20 W Main Street Ct Ste 100
Alpine, UT 84004-1889
Registry dates
- Enumerated
- 2019-10-25
- Last updated
- 2019-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.