MEDICARE: ALL CROWNS SALT LAKE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1376407981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL CROWNS SALT LAKE PLLC

Provider Business Mailing Address
First Line	:	710 E 200 S STE 1C
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-2265
Country	:	US
Telephone Number	:	801-703-5765
Fax Number	:

Provider Business Practice Location Address
First Line	:	223 S 700 E STE 4
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-2175
Country	:	US
Telephone Number	:	801-703-5765
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	ROBERT PALMER
Credential	:	DDS
Telephone Number	:	801-703-5765

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

Similar Medicare Providers

1043173214 — ALL CROWNS DENTAL, LLC
Practice Location Address:

223 S 700 E STE 4
SALT LAKE CITY, UT
84102-2175

Practice Phone: 801-895-3165
Practice Fax: 801-895-3165

1184456188 — PHOEBE TAYLOR
Practice Location Address:

640 N MAIN ST STE 130
NORTH SALT LAKE, UT
84054-2175

Practice Phone: 801-854-2646
Practice Fax:

1578493508 — STEPHANIE WEISENBECK
Practice Location Address:

1156 W LAKEWOOD AVE
LAKE CITY, MN
55041-2175

Practice Phone: 651-345-4551
Practice Fax:

1407786379 — REBECCA ALPERS
Practice Location Address:

1156 W LAKEWOOD AVE
LAKE CITY, MN
55041-2175

Practice Phone: 651-345-4551
Practice Fax:

1295757300 — EVGENIY MOSHKOVICH MD
Practice Location Address:

2175 86TH ST , DBA: CITY MD
BROOKLYN, NY
11214-3205

Practice Phone: 646-828-6401
Practice Fax:

1831429125 — MS. SALLY ANN OWENS RN, BSN
Practice Location Address:

600 RAINTREE BLVD LOT 108
CANON CITY, CO
81212-2175

Practice Phone: 719-248-6537
Practice Fax:

Directions to “ALL CROWNS SALT LAKE PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.