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WASATCH ADVANCED DENTAL CARE LLC NPI 1023670569


NPI Information

NPI: 1023670569
Provider Name: WASATCH ADVANCED DENTAL CARE LLC
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
3590 HARRISON BLVD SUITE #1
OGDEN, UT
ZIP 84403
Phone: (801) 621-4800
Get Directions

WASATCH ADVANCED DENTAL CARE LLC is a periodontics dentist in Ogden, UT. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. WASATCH ADVANCED DENTAL CARE LLC NPI is 1023670569. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3590 HARRISON BLVD SUITE #1
OGDEN, UT
ZIP 84403
Phone: (801) 621-4800
Fax: (801) 340-9561

The provider's authorized official is Aaron T. Ward .
The authorized official title is Dentist and has the following contact phone number (801) 621-4800.

The enumeration date for this NPI number is 7/5/2019 and was last updated on 7/5/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeNo
21223P0300XDentistPeriodonticsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.